| On The Margins, Llc | |
|
1390 Market Street Suite 200 - #6098 San Francisco CA 94102-5404 | |
| (415) 212-9064 | |
| Not Available |
| Full Name | On The Margins, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1390 Market Street, San Francisco, California |
| Authorized Official Name and Position | Daniela Dominguez (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4152095592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On The Margins, Llc 132 Marinero Cir Belvedere Tiburon CA 94920-1627 Ph: (415) 212-9064 | On The Margins, Llc 1390 Market Street Suite 200 - #6098 San Francisco CA 94102-5404 Ph: (415) 212-9064 |
| NPI Number | 1043937790 |
|---|---|
| Provider Enumeration Date | 10/24/2022 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/13/2022 |
| Medicare PECOS PAC ID | 4486027604 |
|---|---|
| Medicare Enrollment ID | O20230308001899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043937790 | NPI | - | NPPES |
| Provider Name | Daniela Dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720705460 PECOS PAC ID: 5395118517 Enrollment ID: I20230308001975 |
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