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NPI Code Detail

MEDICARE: SELF CARE INC

MEDICARE: SELF CARE INC
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
1332B00000XDurable Medical Equipment & Medical Supplies100768CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588765150
Entity Type Code : Organization
Provider Name (Legal Business Name) : SELF CARE INC
Provider Business Mailing Address
First Line : 4827 GEARY BLVD
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-2910
Country : US
Telephone Number : 415-664-1100
Fax Number : 415-751-2244
Provider Business Practice Location Address
First Line : 4827 GEARY BLVD
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-2910
Country : US
Telephone Number : 415-664-1100
Fax Number : 415-751-2244
Authorized Official
Title or Position : PRESIDENT
Name : MR. PAUL K KIM
Credential :
Telephone Number : 415-664-1100
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/11/2007

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Directions to “SELF CARE INC ” Practice Location

Language Start Address Practice Location
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