Provider Demographics
NPI:1225222664
Name:ARMIJO, RUDY JOSEPH (EDM)
Entity Type:Individual
Prefix:MR
First Name:RUDY
Middle Name:JOSEPH
Last Name:ARMIJO
Suffix:
Gender:M
Credentials:EDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 GEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3215
Mailing Address - Country:US
Mailing Address - Phone:415-750-4150
Mailing Address - Fax:415-750-4196
Practice Address - Street 1:3626 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3215
Practice Address - Country:US
Practice Address - Phone:415-750-4150
Practice Address - Fax:415-750-4196
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker