Provider Demographics
NPI: | 1700609286 |
---|---|
Name: | BEATRICE RABKIN MD PC |
Entity type: | Organization |
Organization Name: | BEATRICE RABKIN MD PC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT, CEO |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | BEATRICE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RABKIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 408-603-4171 |
Mailing Address - Street 1: | 1300 SANCHEZ ST |
Mailing Address - Street 2: | |
Mailing Address - City: | SAN FRANCISCO |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 94131-2006 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 628-277-4664 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1300 SANCHEZ ST |
Practice Address - Street 2: | |
Practice Address - City: | SAN FRANCISCO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 94131-2006 |
Practice Address - Country: | US |
Practice Address - Phone: | 628-277-4664 |
Practice Address - Fax: | 628-246-8524 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-11-04 |
Last Update Date: | 2024-11-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |