Organization · Type 2 NPI

City & County of San Francisco

Mental Health Clinic/Center (Including Community Mental Health Center) · San Francisco, CA

NPI number 1639272008 Active

Practice location

3905 Mission St
San Francisco, CA 94112-1014

Call (415) 337-4722 Map

Fax (415) 337-2415

Mailing address

1380 Howard St, 4th Floor, Room 426B
San Francisco, CA 94103-2638

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

16 other providers at this address

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NPI record

NPI: 1639272008
Entity type: Organization (Type 2)
Issued: Sep 7, 2006
Last updated: Aug 8, 2013
Status: Active
Subpart: Yes of City & County of San Francisco-Department of Public Health

Other names

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Southeast Mission Geriatric Mental Health · doing business as

Authorized official

Chona G Bautista-Peralta, LCSW
Compliance Officer
(415) 255-3443

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639272008

City & County of San Francisco's National Provider Identifier is 1639272008, issued on Sep 7, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in San Francisco, CA. The record was last updated on Aug 8, 2013.