Organization
MODERN HEALTH CALIFORNIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BURTON (CHIEF ADMINISTRATIVE OFFICER)
(415) 295-2507
Entity
Organization
Contact information
Practice address
2 BATTERY WHARF, BOSTON, MA 02109-1099
(415) 295-2507
Mailing address
650 CALIFORNIA ST FL 707-128, SAN FRANCISCO, CA 94108-2702
(415) 295-2507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
12/16/2021
Last updated
02/11/2022
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