Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA RECHTSHAFFER LCSW (LCSW)
(415) 444-3056
Entity
Organization
Contact information
Practice address
820 LAS GALLINAS AVE, SAN RAFAEL, CA 94903-3410
(415) 444-3056
Mailing address
2 KEEL CT, SAN RAFAEL, CA 94903-2250
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
LCS 17828
CA
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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