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NPI Code Detail

MEDICARE: REBEKAH DETRINIDAD

MEDICARE:   REBEKAH  DETRINIDAD
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
1163W00000XRegistered Nurse95338672CA

General Provider Information

NPI Number : 1871468819
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH DETRINIDAD
Provider Business Mailing Address
First Line : 1101 VAN NESS AVE OFC 6065
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-6919
Country : US
Telephone Number : 415-600-3723
Fax Number : 415-600-3723
Provider Business Practice Location Address
First Line : 1101 VAN NESS AVE OFC 6065
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-6919
Country : US
Telephone Number : 415-600-3723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2025
Last Update Date : 10/08/2025

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Directions to “ REBEKAH DETRINIDAD ” Practice Location

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