REGENTS OF THE UNIVERSITY OF CALIFORNIA

4000 CIVIC CENTER DR STE 206, SAN RAFAEL, CA, 949035233

atlas:atm_npi_1013560960

Block 2008Block Group 2Census Tract 1060.01Marin County California United States

What is stored

phone: 415-353-7598
status: A
address: 4000 CIVIC CENTER DR STE 206, SAN RAFAEL, CA, 949035233
npi: 1013560960
taxonomy: Clinic/Center, Rehabilitation
other names: []
last updated: 2025-04-16
taxonomy code: 261QR0400X
all taxonomies: ["Physical Therapist","Occupational Therapist","Occupational Therapist, Physical Rehabilitation","Speech-Language Pathologist, ","Clinic/Center, Physical Therapy","Clinic/Center, Rehabilitation","Clinic/Center, Occupational Medicine"]
enumeration date: 2019-07-19
enumeration type: NPI-2
practice locations: 0
authorized official: KOSAL BO
organizational subpart: YES

Additional fields are available in JSON.

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Read fact fields

{
  "npi": "1013560960",
  "phone": "415-353-7598",
  "status": "A",
  "address": "4000 CIVIC CENTER DR STE 206, SAN RAFAEL, CA, 949035233",
  "license": null,
  "taxonomy": "Clinic/Center, Rehabilitation",
  "other_names": [],
  "last_updated": "2025-04-16",
  "license_state": null,
  "taxonomy_code": "261QR0400X",
  "all_taxonomies": [
    "Physical Therapist",
    "Occupational Therapist",
    "Occupational Therapist, Physical Rehabilitation",
    "Speech-Language Pathologist,  ",
    "Clinic/Center, Physical Therapy",
    "Clinic/Center, Rehabilitation",
    "Clinic/Center, Occupational Medicine"
  ],
  "enumeration_date": "2019-07-19",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "KOSAL BO",
  "organizational_subpart": "YES"
}