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Gustavo Poktzin
Student in an Organized Health Care Education/Training Program in San Francisco, California
NPI 1518571918

Gustavo Poktzin is a Student in an Organized Health Care Education/Training Program based in San Francisco, CA. Gustavo Poktzin practices in San Francisco, CA. The NPI Number for Gustavo Poktzin is 1518571918 and holds a License No. (California).

The current practice location address for Gustavo Poktzin is 2919 Mission St, San Francisco, CA and can be reached out via phone at 415-229-0500.

Location: 2919 Mission St, San Francisco, CA, 94110-3917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518571918
Provider Name
Gustavo Poktzin
Credential
Provider Entity Type
Individual
Gender
Male
Address
2919 Mission St, San Francisco, CA, 94110-3917
Phone Number
415-229-0500
Fax Number
Provider Enumeration Date
09/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GUSTAVOPOKTZIN 01 CA MENTAL HEALTH - INTERN
institution
Provider Business Practice Location Address Details
Address
2919 Mission St
City
San Francisco
State
California
Zip
94110-3917
Phone Number
415-229-0500
Fax Number
person
Provider Business Mailing Address Details
Address
2919 Mission St
City
San Francisco
State
California
Zip
94110-3917
Phone Number
415-229-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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