Individual
MR. VICTOR IAN RODIONOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP, PMHNP-BC
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95166305
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95021917
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
08/23/2021
Last updated
01/30/2026
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