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LIGHTHEARTED MEDICINE INC. NPI 1982151676


NPI Information

NPI: 1982151676
Provider Name: LIGHTHEARTED MEDICINE, INC.

Doing Business As: LIGHTHEARTED MEDICINE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1700 MONTGOMERY ST STE 101
SAN FRANCISCO, CA
ZIP 94111
Phone: (415) 964-0546
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LIGHTHEARTED MEDICINE, INC. is a health service clinic center in San Francisco, CA. LIGHTHEARTED MEDICINE, INC. NPI is 1982151676. The provider is registered as an organization entity type.
The provider Is Doing Business As Lighthearted Medicine.

The provider's business location address is:

1700 MONTGOMERY ST STE 101
SAN FRANCISCO, CA
ZIP 94111-022
Phone: (415) 964-0546
Fax: (888) 861-2143

The provider's authorized official is Bruce Allen Roberts .
The authorized official title is Cfo, Medical Director and has the following contact phone number (415) 964-0546.

The enumeration date for this NPI number is 9/9/2016 and was last updated on 9/9/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceC53920CALIFORNIAYes

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

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