Healthcare Provider Details

I. General information

NPI: 1730363151
Provider Name (Legal Business Name): HEALTHRIGHT 360
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 MISSION ST FL 5
SAN FRANCISCO CA
94103-2543
US

IV. Provider business mailing address

1563 MISSION STREET 2ND FLOOR MAIL ROOM
SAN FRANCISCO CA
94103-2543
US

V. Phone/Fax

Practice location:
  • Phone: 415-226-1775
  • Fax:
Mailing address:
  • Phone: 415-762-3700
  • Fax: 415-865-0119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number550000486
License Number StateCA

VIII. Authorized Official

Name: MR. ATHILA LAMBINO
Title or Position: DIRECTOR OF LIC. & CERTIFICATION
Credential:
Phone: 415-912-0605