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Organization
INNER ILLUMINATIONS, PC
Active
Organization
INNER ILLUMINATIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R ROBERT ESKUCHEN JR. MD (OWNER)
(415) 819-5300
Entity
Organization
Contact information
Practice address
369 PINE STREET STE 629, SAN FRANCISCO, CA 94104
(415) 819-5300
(415) 477-4035
Mailing address
369 PINE STREET STE 629, SAN FRANCISCO, CA 94104
(415) 819-5300
(415) 477-4035
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
060370
GA
Other
Enumeration date
09/11/2009
Last updated
02/10/2020
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