Healthcare Provider Details

I. General information

NPI: 1598813032
Provider Name (Legal Business Name): WILLIAM PETER AMARAL L.C.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BILL AMARAL L.C.S.W.

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3884 24TH ST
SAN FRANCISCO CA
94114-3839
US

IV. Provider business mailing address

379 CHURCH ST UNIT 401
SAN FRANCISCO CA
94114-4015
US

V. Phone/Fax

Practice location:
  • Phone: 415-724-0866
  • Fax:
Mailing address:
  • Phone: 415-724-0866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberLCS 22812
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: