Basic Information
Provider Information
NPI: 1750817011
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALDANA GARCIA
FirstName: KAREN
MiddleName: PAULINA
NamePrefix:  
NameSuffix:  
Credential: APCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 275 SENECA AVE
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941123219
CountryCode: US
TelephoneNumber: 4152649146
FaxNumber:  
Practice Location
Address1: 250 EXECUTIVE PARK BLVD STE 4900
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941343335
CountryCode: US
TelephoneNumber: 4156560116
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/05/2017
LastUpdateDate: 12/17/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/17/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000XAPCC6179CAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
101YP2500XAPCC6179CAY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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