# PACIFIC STATE MEDICAL GROUP OF CALIFORNIA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134951197
- **Authorized official:** ELLIOTT RAPAPORT (CEO)
- **Authorized official phone:** (917) 843-8445

## Contact information

- **Practice address:** 95 3RD ST FL 2, SAN FRANCISCO, CA 94103-3103
- **Practice address phone:** (833) 843-3838
- **Practice address fax:** (844) 831-4571
- **Mailing address:** 95 3RD ST FL 2, SAN FRANCISCO, CA 94103-3103
- **Mailing address phone:** (833) 843-3838
- **Mailing address fax:** (844) 831-4571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2024
- **Last updated:** 08/19/2024