Organization
MEDVIDI HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED J ORTIZ (OPERATIONS MANAGER)
(415) 910-9362
Entity
Organization
Contact information
Practice address
1884 MARKET ST, SAN FRANCISCO, CA 94102-6227
(415) 554-0171
(415) 449-3540
Mailing address
1884 MARKET ST, SAN FRANCISCO, CA 94102-6227
(415) 554-0171
(415) 449-3540
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205923216
—
FL
05
—
1295846822
—
CA
05
—
1457896128
—
CO
Enumeration date
10/28/2021
Last updated
10/28/2021
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