Lighthearted Medicine, INC.
Clinic/Center, Health Services in San Francisco, CA. Organization (NPI-2).
NPI number1982151676
StatusActive
Last updated in NPPESSep 9, 2016
Details
- NPI
- 1982151676
- Entity type
- Organization (NPI-2)
- Legal business name
- Lighthearted Medicine, INC.
- Organization subpart
- No
- Enumeration date
- Sep 9, 2016
- Last updated
- Sep 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | C53920 | CA | Yes |
Other names
- Lighthearted Medicine (Doing Business As)
Practice location
1700 Montgomery St Ste 101San Francisco, CA 94111-1022
Phone 415-964-0546 · Fax 888-861-2143
Mailing address
1700 Montgomery St Ste 101San Francisco, CA 94111-1022
Phone 415-964-0546 · Fax 888-861-2143
Authorized official
Bruce Allen Roberts
Cfo, Medical Director
4159640546
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