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NPI Code Detail

MEDICARE: ELLA DRAKE

MEDICARE: ELLA DRAKE
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1639027972
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLA DRAKE
Provider Business Mailing Address
First Line : 1486 HUNTINGTON AVE STE 100
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-5971
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1486 HUNTINGTON AVE STE 100
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-5971
Country : US
Telephone Number : 231-944-9980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ ELLA DRAKE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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