Healthcare Provider Details

I. General information

NPI: 1851121602
Provider Name (Legal Business Name): WW CLINIC WEST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2024
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 CALIFORNIA ST STE 14
SAN FRANCISCO CA
94104-2102
US

IV. Provider business mailing address

425 CALIFORNIA ST STE 14
SAN FRANCISCO CA
94104-2102
US

V. Phone/Fax

Practice location:
  • Phone: 212-589-2700
  • Fax:
Mailing address:
  • Phone: 212-589-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN ANTHONY HINDS
Title or Position: PRESIDENT
Credential: MD
Phone: 561-289-7729