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Organization
THE PERISCOPE GROUP
Active
Organization
THE PERISCOPE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM AGUILAR PT, MBA (FOUNDER & CEO)
(866) 886-9992
Entity
Organization
Contact information
Practice address
548 MARKET ST # 75842, SAN FRANCISCO, CA 94104-5401
(866) 886-9992
(866) 871-5895
Mailing address
548 MARKET ST # 75842, SAN FRANCISCO, CA 94104-5401
(866) 886-9992
(866) 871-5895
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PT18893
CA
Other
Enumeration date
12/01/2016
Last updated
10/14/2021
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