Basic Information
| Provider Information | |||||||||
| NPI: | 1376992677 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CALIFORNIA PACIFIC MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2247 GREENCEDAR DR | ||||||||
| Address2: | |||||||||
| City: | BEL AIR | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210156383 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7326161702 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2351 CLAY ST | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941151931 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4156006000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2016 | ||||||||
| LastUpdateDate: | 01/20/2022 | ||||||||
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| AuthorizedOfficialLastName: | OLIVE | ||||||||
| AuthorizedOfficialFirstName: | ANA | ||||||||
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| AuthorizedOfficialTitleorPosition: | GME COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 4156003954 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 207R00000X | CA | Y | Hospitals | General Acute Care Hospital |
No ID Information.