Healthcare Provider Details

I. General information

NPI: 1508054545
Provider Name (Legal Business Name): ALEJANDRO ARTURO NUNO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2007
Last Update Date: 09/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2919 MISSION ST
SAN FRANCISCO CA
94110-3917
US

IV. Provider business mailing address

434 WINCHESTER ST
DALY CITY CA
94014-1103
US

V. Phone/Fax

Practice location:
  • Phone: 415-229-0500
  • Fax: 415-647-0740
Mailing address:
  • Phone: 415-254-5415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: