Organization
PENINSULA HEALTH CARE DISTRICT
Active
Other names
allcove San Mateo
Organization subpart
No
Provider details
NPI number
Authorized official
MARC A RAPPAPORT LMFT (CLINICAL DIRECTOR)
(650) 226-7030
Entity
Organization
Contact information
Practice address
2600 S EL CAMINO REAL STE 300, SAN MATEO, CA 94403-2381
(650) 226-7030
Mailing address
2600 S EL CAMINO REAL STE 300, SAN MATEO, CA 94403-2381
(650) 226-7030
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043891145
NPPES
CA
01
—
1326771171
NPPES
—
01
—
1770242034
NPPES
CA
01
—
1801956784
NPPES
CA
Enumeration date
05/02/2024
Last updated
08/28/2024
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