1245377472 NPI number — DR. ANGELICA MARGUERITE ALMEIDA PH.D.

Table of content: DR. ANGELICA MARGUERITE ALMEIDA PH.D. (NPI 1245377472)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245377472 NPI number — DR. ANGELICA MARGUERITE ALMEIDA PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALMEIDA
Provider First Name:
ANGELICA
Provider Middle Name:
MARGUERITE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245377472
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
650 5TH STREET
Provider Second Line Business Mailing Address:
309
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-734-3213
Provider Business Mailing Address Fax Number:
415-734-3216

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
650 5TH ST
Provider Second Line Business Practice Location Address:
309
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94107-1536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-734-3213
Provider Business Practice Location Address Fax Number:
415-734-3216
Provider Enumeration Date:
01/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: PSY23814 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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