Organization
DIVISADERO HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NEWELL GREEN MD (PRESIDENT)
(415) 846-2891
Entity
Organization
Contact information
Practice address
2193 FILLMORE STREET, SAN FRANCISCO, CA 94115
(415) 496-5578
Mailing address
530 DIVISADERO ST STE 108, SAN FRANCISCO, CA 94117-2213
(415) 349-3901
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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