Healthcare Provider Details

I. General information

NPI: 1760999270
Provider Name (Legal Business Name): AMELIA PATIMASANG HARMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2018
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1282 MARKET ST
SAN FRANCISCO CA
94102-4801
US

IV. Provider business mailing address

426 KIRKHAM ST
SAN FRANCISCO CA
94122-3713
US

V. Phone/Fax

Practice location:
  • Phone: 415-579-3021
  • Fax:
Mailing address:
  • Phone: 202-615-0412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: