Most Relevant Information
Provider Data
| NPI Number: | 1003439209 |
| Provider Name: | AZITTA HEKMATI R1381470320 |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | R1381470320 |
Most Important Dates
| Enumeration Date: | 05/21/2020 |
| Last Updated: | 04/13/2022 |
Provider Practice Location
1049 HOWARD ST
SAN FRANCISCO
CA
941032822
Practice Location Phone/Fax
| Phone: | 6503050400 |
| Fax: |
Provider Mailing Location
59 RODGERS ST STE B
SAN FRANCISCO
CA
941034285
Provider Mailing Phone/Fax
| Phone: | 6503050400 |
| Fax: |