Individual
MR. ABDUL RAHIM OWENS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
673 SAN JOSE AVE, SAN FRANCISCO, CA 94110-4914
(415) 282-3789
Mailing address
4368 LINCOLN AVE, 4368 LINCOLN, OAKLAND, CA 94602-2529
(510) 531-3111
(510) 530-8083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
B6731917
CA
101YM0800X
Mental Health Counselor
B6731917
CA
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5BASEBALL
MEDI-CAL
CA
Enumeration date
03/16/2011
Last updated
06/16/2025
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