MEDICARE: HEALTHRIGHT 360

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		CA

Other Identifiers

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

General Provider Information

NPI Number	:	1629498118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHRIGHT 360

Provider Business Mailing Address
First Line	:	1563 MISSION STREET, 4TH FLOOR
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2543
Country	:	US
Telephone Number	:	415-762-3700
Fax Number	:	415-379-7804

Provider Business Practice Location Address
First Line	:	1833 FILLMORE ST FL 3
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3181
Country	:	US
Telephone Number	:	415-379-7800
Fax Number	:	415-865-0119

Authorized Official
Title or Position	:	CEO
Name	:	VITKA EISEN
Credential	:
Telephone Number	:	415-762-3700

Provider Enumeration Date	:	04/23/2014
Last Update Date	:	02/02/2018

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Directions to “HEALTHRIGHT 360 ” Practice Location

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