Provider Demographics
NPI:1679952410
Name:LAMBINO, ATHILA (CHES)
Entity type:Individual
Prefix:MR
First Name:ATHILA
Middle Name:
Last Name:LAMBINO
Suffix:
Gender:M
Credentials:CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1563 MISSION ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2543
Mailing Address - Country:US
Mailing Address - Phone:415-213-1720
Mailing Address - Fax:415-865-0119
Practice Address - Street 1:1563 MISSION ST STE 408
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2543
Practice Address - Country:US
Practice Address - Phone:415-912-0605
Practice Address - Fax:415-865-0119
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-27
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker