Provider Demographics
NPI:1609079516
Name:TRAMONTINI, YAGI
Entity Type:Individual
Prefix:
First Name:YAGI
Middle Name:
Last Name:TRAMONTINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 JONES ST APT 101
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-0302
Mailing Address - Country:US
Mailing Address - Phone:415-412-6615
Mailing Address - Fax:415-776-7260
Practice Address - Street 1:999 SUTTER ST.
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:415-412-6615
Practice Address - Fax:415-776-7173
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARW0624101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)