CEDRIC DUNN NPI 1962763821

NPI Information

NPI: 1962763821
Provider Name: CEDRIC DUNN
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Individual
Address:
301 GRAND AVE STE 301
SOUTH SAN FRANCISCO, CA
ZIP 94080
Phone: (650) 244-1444
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Cedric Dunn is a substance abuse rehabilitation facility in South San Francisco, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. Cedric Dunn NPI is 1962763821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 GRAND AVE STE 301
SOUTH SAN FRANCISCO, CA
ZIP 94080-641
Phone: (650) 244-1444

The enumeration date for this NPI number is 6/6/2012 and was last updated on 6/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	410020DN	OTHER	CALIFORNIA	CASA AZTLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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