Healthcare Provider Details

I. General information

NPI: 1356007025
Provider Name (Legal Business Name): 18 REASONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3674 18TH ST
SAN FRANCISCO CA
94110-1532
US

IV. Provider business mailing address

3674 18TH ST
SAN FRANCISCO CA
94110-1532
US

V. Phone/Fax

Practice location:
  • Phone: 209-756-0929
  • Fax:
Mailing address:
  • Phone: 209-756-0929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA GUERRERO
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 209-756-0929