Healthcare Provider Details

I. General information

NPI: 1376749499
Provider Name (Legal Business Name): BLOOD CENTERS OF THE PACIFIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 MASONIC AVE
SAN FRANCISCO CA
94118-4417
US

IV. Provider business mailing address

270 MASONIC AVE
SAN FRANCISCO CA
94118-4417
US

V. Phone/Fax

Practice location:
  • Phone: 415-749-6618
  • Fax: 415-749-6621
Mailing address:
  • Phone: 415-749-6618
  • Fax: 415-749-6621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code331L00000X
TaxonomyBlood Bank
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY REGINA SJOSTROM
Title or Position: DIRECTOR OF FINANCE
Credential: CPA
Phone: 415-749-6618