MEDICARE: INSIGHTCARE THERAPY

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
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1417707241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHTCARE THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 2758
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94536-0758
Country	:	US
Telephone Number	:	650-762-8750
Fax Number	:

Provider Business Practice Location Address
First Line	:	1475 HUNTINGTON AVE STE 218
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-5967
Country	:	US
Telephone Number	:	141-569-9843
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALEES AZAR
Credential	:	LMFT
Telephone Number	:	415-699-8436

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	03/25/2024

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Directions to “INSIGHTCARE THERAPY ” Practice Location

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