| Hope Older Adult Services | |
|
10 N San Pedro Rd Ste 1020 San Rafael CA 94903-4155 | |
| (415) 473-4306 | |
| (415) 473-4307 |
| Full Name | Hope Older Adult Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10 N San Pedro Rd Ste 1020, San Rafael, California |
| Authorized Official Name and Position | Rosanna Lallana (COMPLIANCE PRIVACY SECURITY OFFICER) |
| Authorized Official Contact | 4154732531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Older Adult Services 20 N San Pedro Rd San Rafael CA 94903-4188 Ph: (415) 473-6948 | Hope Older Adult Services 10 N San Pedro Rd Ste 1020 San Rafael CA 94903-4155 Ph: (415) 473-4306 |
| NPI Number | 1326258856 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326258856 | NPI | - | NPPES |
| 000002177 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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