Provider Demographics
NPI:1447790696
Name:AFEK, ADI VERED (RN)
Entity Type:Individual
Prefix:
First Name:ADI
Middle Name:VERED
Last Name:AFEK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2185 PACHECO ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2309
Mailing Address - Country:US
Mailing Address - Phone:925-676-0300
Mailing Address - Fax:925-676-2650
Practice Address - Street 1:1650 VALENCIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-5013
Practice Address - Country:US
Practice Address - Phone:415-821-1282
Practice Address - Fax:415-821-9047
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95100236163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse