Healthcare Provider Details

I. General information

NPI: 1447790696
Provider Name (Legal Business Name): ADI VERED AFEK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2017
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 VALENCIA ST
SAN FRANCISCO CA
94110-5013
US

IV. Provider business mailing address

2185 PACHECO ST
CONCORD CA
94520-2309
US

V. Phone/Fax

Practice location:
  • Phone: 415-821-1282
  • Fax: 415-821-9047
Mailing address:
  • Phone: 925-676-0300
  • Fax: 925-676-2650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95100236
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: