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Organization
PACIFIC STATE MEDICAL GROUP OF CALIFORNIA, P.C.
Active
Organization
PACIFIC STATE MEDICAL GROUP OF CALIFORNIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RAPAPORT (CEO)
(917) 843-8445
Entity
Organization
Contact information
Practice address
95 3RD ST FL 2, SAN FRANCISCO, CA 94103-3103
(833) 843-3838
(844) 831-4571
Mailing address
95 3RD ST FL 2, SAN FRANCISCO, CA 94103-3103
(833) 843-3838
(844) 831-4571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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