Healthcare Provider Details

I. General information

NPI: 1023387438
Provider Name (Legal Business Name): ALICIA G. LEON REHS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2011
Last Update Date: 12/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 VAN NESS AVE
SAN FRANCISCO CA
94102-6020
US

IV. Provider business mailing address

30 VAN NESS AVE
SAN FRANCISCO CA
94102-6020
US

V. Phone/Fax

Practice location:
  • Phone: 415-575-5670
  • Fax: 415-575-5799
Mailing address:
  • Phone: 415-575-5670
  • Fax: 415-575-5799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number6237
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: