<Unavail>

LBN: Gerald C Davalos
<Unavail> is an health care organization with primary practice located at 2505 Noriega Street , San Francisco CA 94122-4126. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Gerald C Davalos can be contacted via phone (415) 731-3535, or through Davalos, Gerald Charles via phone (415) 731-3535.

Contact Information

Primary practice address
2505 Noriega Street San Francisco CA 94122-4126
Phone: (415) 731-3535
Fax: (415) 731-8650
Website:
Map and Directions
Authorized official contact:
Name: Davalos, Gerald Charles PHARMD
Phone: (415) 731-3535

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY22384 California

Profile Details

NPI number 1861475519
LBN Legal business name Gerald C Davalos
DBA Doing business as <Unavail>
Authorized official Davalos, Gerald Charles PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2005
Last updated May 17th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861475519 NPPES
California MEDICAID PHA223840

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