Organization
LUISITO M. ROXAS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISITO M ROXAS MD (PRESIDENT)
(415) 307-4112
Entity
Organization
Contact information
Practice address
15200 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1013
(510) 352-9690
Mailing address
98 NURSERY WAY, SOUTH SAN FRANCISCO, CA 94080-3289
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
A48453
CA
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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