Benjamin Canon Gaeta
Psychiatry & Neurology, Psychiatry in San Francisco, CA. Individual provider (NPI-1).
NPI number1457106924
StatusActive
Last updated in NPPESDec 29, 2024
Details
- NPI
- 1457106924
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Canon Gaeta
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2024
- Certification date
- Dec 29, 2024
- Last updated
- Dec 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 16669 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
675 18th StSan Francisco, CA 94143-4200
Phone 415-476-7000
Mailing address
675 18th StSan Francisco, CA 94143-4200
Phone 415-476-7000
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