Agcaoili, Gary Mark

Agcaoili, Gary Mark is an sole proprietor health care provider with primary practice located at 4150 Clement St , San Francisco CA 94121-1545. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as his primary health care specialty. Agcaoili, Gary Mark can be contacted via phone (415) 221-4810.

Contact Information

Primary practice address
4150 Clement St San Francisco CA 94121-1545
Phone: (415) 221-4810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 32223 California

Profile Details

NPI number 1649284019
LBN Legal business name Agcaoili, Gary Mark
Credentials C.T.R.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649284019 NPPES
California Other 32223 RECREATION THERAPIST

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