Provider Demographics
| NPI: | 1700609286 |
|---|---|
| Name: | BEATRICE RABKIN MD PC |
| Entity type: | Organization |
| Organization Name: | BEATRICE RABKIN MD PC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT, CEO |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | BEATRICE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | RABKIN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 408-603-4171 |
| Mailing Address - Street 1: | 1300 SANCHEZ ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SAN FRANCISCO |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 94131-2006 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 628-277-4664 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1300 SANCHEZ ST |
| Practice Address - Street 2: | |
| Practice Address - City: | SAN FRANCISCO |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 94131-2006 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 628-277-4664 |
| Practice Address - Fax: | 628-246-8524 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-11-04 |
| Last Update Date: | 2024-11-04 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |