Healthcare Provider Details

I. General information

NPI: 1386528891
Provider Name (Legal Business Name): PACIFIC VISION FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 VAN NESS AVE STE 430
SAN FRANCISCO CA
94102-3284
US

IV. Provider business mailing address

711 VAN NESS AVE STE 260
SAN FRANCISCO CA
94102-3272
US

V. Phone/Fax

Practice location:
  • Phone: 415-997-6521
  • Fax: 415-430-9748
Mailing address:
  • Phone:
  • Fax: 415-430-9748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES CHANG
Title or Position: CEO
Credential:
Phone: 415-393-1225