Healthcare Provider Details

I. General information

NPI: 1871426858
Provider Name (Legal Business Name): MISSION NEIGHBORHOOD RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

165 CAPP ST
SAN FRANCISCO CA
94110-1209
US

IV. Provider business mailing address

165 CAPP ST
SAN FRANCISCO CA
94110-1209
US

V. Phone/Fax

Practice location:
  • Phone: 415-869-7977
  • Fax: 415-241-9758
Mailing address:
  • Phone: 415-869-7977
  • Fax: 415-241-9758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MARVIN WILFREDO ROMERO
Title or Position: CARE MANAGER
Credential: ECM
Phone: 415-869-7977