Healthcare Provider Details
I. General information
NPI: 1750817011
Provider Name (Legal Business Name): KAREN PAULINA SALDANA GARCIA APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/05/2017
Last Update Date: 12/17/2020
Certification Date: 12/17/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 EXECUTIVE PARK BLVD STE 4900
SAN FRANCISCO CA
94134-3335
US
IV. Provider business mailing address
275 SENECA AVE
SAN FRANCISCO CA
94112-3219
US
V. Phone/Fax
- Phone: 415-656-0116
- Fax:
- Phone: 415-264-9146
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | APCC6179 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | APCC6179 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: