Basic Information
| Provider Information | |||||||||
| NPI: | 1649837501 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CITY & COUNTY OF SAN FRANCISCO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 POTRERO AVE | ||||||||
| Address2: | BLDG 20 WD 24 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941103518 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 MASONIC AVE | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941184415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155678370 | ||||||||
| FaxNumber: | 4152925531 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2019 | ||||||||
| LastUpdateDate: | 05/24/2019 | ||||||||
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| AuthorizedOfficialLastName: | ISTVAN | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
| AuthorizedOfficialMiddleName: | JOHN | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR OF PATIENT FINANCIAL SERVI | ||||||||
| AuthorizedOfficialTelephone: | 4157594064 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.