Provider Demographics
NPI:1902386063
Name:ALON, REBECCA L (NC, FMCHC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:ALON
Suffix:
Gender:F
Credentials:NC, FMCHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3661 BUCHANAN ST FL 3
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-1789
Mailing Address - Country:US
Mailing Address - Phone:415-625-3476
Mailing Address - Fax:
Practice Address - Street 1:3661 BUCHANAN ST FL 3
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-1789
Practice Address - Country:US
Practice Address - Phone:415-625-3476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator