Provider Demographics
NPI:1396565701
Name:HERBERT, AMINAH AKILAH
Entity type:Individual
Prefix:MRS
First Name:AMINAH
Middle Name:AKILAH
Last Name:HERBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 TURK ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3703
Mailing Address - Country:US
Mailing Address - Phone:628-224-8684
Mailing Address - Fax:833-396-2350
Practice Address - Street 1:315 TURK ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3703
Practice Address - Country:US
Practice Address - Phone:628-224-8684
Practice Address - Fax:833-396-2350
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator