Healthcare Provider Details

I. General information

NPI: 1285476143
Provider Name (Legal Business Name): BOBBY DULAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2024
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 FOLSOM ST UNIT 208
SAN FRANCISCO CA
94105-3583
US

IV. Provider business mailing address

PO BOX 190605
SAN FRANCISCO CA
94119-0605
US

V. Phone/Fax

Practice location:
  • Phone: 415-562-5578
  • Fax:
Mailing address:
  • Phone: 415-562-5578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164597
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: