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NPI Code Detail

MEDICARE: PATRICK GIMENO

MEDICARE: PATRICK GIMENO
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
1225X00000XOccupational Therapist18807CA

General Provider Information

NPI Number : 1982166021
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK GIMENO
Provider Business Mailing Address
First Line : 3400 LAGUNA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-2271
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3400 LAGUNA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-2271
Country : US
Telephone Number : 415-202-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2019
Last Update Date : 04/05/2019

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Directions to “ PATRICK GIMENO ” Practice Location

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