Organization · NPI-2

Aleksandr Grinberg MD, INC

Clinic/Center, Adult Mental Health · San Francisco, CA

NPI number1144581356
StatusActive
Last updated in NPPESJun 4, 2012

Details

NPI
1144581356
Entity type
Organization (NPI-2)
Legal business name
Aleksandr Grinberg MD, INC
Organization subpart
No
Enumeration date
Jun 4, 2012
Last updated
Jun 4, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental HealthA56467CAYes

Practice location

2320 Sutter St
Office 101
San Francisco, CA 94115-3038

Phone 415-771-0700 · Fax 415-928-1311

Mailing address

2320 Sutter St
Office 101
San Francisco, CA 94115-3038

Phone 415-771-0700 · Fax 415-928-1311

Authorized official

Aleksandr Grinberg
Owner
4152866530

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