Healthcare Provider Details

I. General information

NPI: 1831349828
Provider Name (Legal Business Name): RAFAEL ALEXANDER CERNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 09/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 VALENCIA ST
SAN FRANCISCO CA
94110-1737
US

IV. Provider business mailing address

166 ENCLINE CT
SAN FRANCISCO CA
94127-1838
US

V. Phone/Fax

Practice location:
  • Phone: 415-826-6767
  • Fax: 415-826-6774
Mailing address:
  • Phone: 415-933-3782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: