Healthcare Provider Details

I. General information

NPI: 1922959808
Provider Name (Legal Business Name): 8MA SPACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SAN GABRIEL AVE
SAN FRANCISCO CA
94112-1905
US

IV. Provider business mailing address

80 SAN GABRIEL AVE
SAN FRANCISCO CA
94112-1905
US

V. Phone/Fax

Practice location:
  • Phone: 650-705-9227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATASA BUNTIC
Title or Position: MANAGING MEMBER
Credential:
Phone: 650-305-1529