Healthcare Provider Details

I. General information

NPI: 1245212174
Provider Name (Legal Business Name): WILLIAM A. PRICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 08/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 PENNSYLVANIA AVE
SAN FRANCISCO CA
94107-2950
US

IV. Provider business mailing address

331 PENNSYLVANIA AVE
SAN FRANCISCO CA
94107-2950
US

V. Phone/Fax

Practice location:
  • Phone: 415-647-3587
  • Fax: 415-647-6885
Mailing address:
  • Phone: 415-647-3587
  • Fax: 415-647-6885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number220000113
License Number StateCA

VIII. Authorized Official

Name: MS. MAY WONG
Title or Position: ADMINISTRATOR
Credential:
Phone: 415-647-3587