Individual
ISRAEL DE JESUS DIOSDADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEALTH WORKER II
Contact information
Practice address
2712 MISSION ST, SAN FRANCISCO, CA 94110-3104
(415) 401-2700
(415) 401-2741
Mailing address
2712 MISSION ST, SAN FRANCISCO, CA 94110-3104
(415) 401-2700
(415) 401-2741
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
246RP1900X
Phlebotomy Technician
Primary
CPT 00019019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPT 00019019
STATE LISCENCE PHLEBOTOMIST
CA
Enumeration date
09/04/2014
Last updated
10/03/2014
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