| Inner Illuminations, Pc | |
|
369 Pine Street Ste 629 San Francisco CA 94104 | |
| (415) 819-5300 | |
| (415) 477-4035 |
| Full Name | Inner Illuminations, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 369 Pine Street Ste 629, San Francisco, California |
| Authorized Official Name and Position | R Robert Eskuchen (OWNER) |
| Authorized Official Contact | 4158195300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Illuminations, Pc 369 Pine Street Ste 629 San Francisco CA 94104 Ph: (415) 819-5300 | Inner Illuminations, Pc 369 Pine Street Ste 629 San Francisco CA 94104 Ph: (415) 819-5300 |
| NPI Number | 1508199357 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Medicare PECOS PAC ID | 9335575141 |
|---|---|
| Medicare Enrollment ID | O20200213002229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508199357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 060370 (Georgia) | Primary |
| Provider Name | Raymond Robert Eskuchen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548448624 PECOS PAC ID: 1254499957 Enrollment ID: I20200213002331 |
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