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Organization

INNER ILLUMINATIONS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. R ROBERT ESKUCHEN JR. MD (OWNER)
(415) 819-5300
Entity
Organization

Contact information

Practice address
369 PINE STREET STE 629, SAN FRANCISCO, CA 94104
(415) 819-5300
(415) 477-4035
Mailing address
369 PINE STREET STE 629, SAN FRANCISCO, CA 94104
(415) 819-5300
(415) 477-4035

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
060370
GA

Other

Enumeration date
09/11/2009
Last updated
02/10/2020
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