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NPI Code Detail

MEDICARE: MR. AKILI K CALHOUN

MEDICARE: MR. AKILI K CALHOUN
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
1171M00000XCase Manager/Care Coordinator
2106H00000XMarriage & Family Therapist63022CA

General Provider Information

NPI Number : 1164737128
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AKILI K CALHOUN
Provider Business Mailing Address
First Line : 4368 LINCOLN AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94602-2529
Country : US
Telephone Number : 510-531-3111
Fax Number : 510-530-8083
Provider Business Practice Location Address
First Line : 1153 OAK ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94117-2216
Country : US
Telephone Number : 415-431-9000
Fax Number : 415-431-1813
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2010
Last Update Date : 11/02/2023

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