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NPI Code Detail

MEDICARE: TOBORRI WRIGHT

MEDICARE: TOBORRI WRIGHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker
2101YA0400XAddiction (Substance Use Disorder) CounselorRW4672CA

General Provider Information

NPI Number : 1144595620
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOBORRI WRIGHT
Provider Business Mailing Address
First Line : 1525 SILVER AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94134-1229
Country : US
Telephone Number : 415-657-1770
Fax Number :
Provider Business Practice Location Address
First Line : 1249 SCOTT ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-4008
Country : US
Telephone Number : 415-922-9104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2012
Last Update Date : 01/18/2018

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Directions to “ TOBORRI WRIGHT ” Practice Location

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