Healthcare Provider Details

I. General information

NPI: 1235647249
Provider Name (Legal Business Name): NATALIA JEAN GARROTTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 06/07/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 WASHBURN ST
SAN FRANCISCO CA
94103-2663
US

IV. Provider business mailing address

PLAZA APARTMENTS 988 HOWARD STREET
SAN FRANCISCO CA
94103-2663
US

V. Phone/Fax

Practice location:
  • Phone: 415-864-8701
  • Fax: 415-864-0682
Mailing address:
  • Phone: 415-975-0908
  • Fax: 415-975-9932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: