Healthcare Provider Details
I. General information
NPI: 1700629474
Provider Name (Legal Business Name): ZSFG
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2024
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 POTRERO AVE # 7M
SAN FRANCISCO CA
94110-3518
US
IV. Provider business mailing address
1001 POTRERO AVE # 7M
SAN FRANCISCO CA
94110-3518
US
V. Phone/Fax
- Phone: 628-206-8426
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHRYN
MARGOLIS
Title or Position: DIRECTOR
Credential:
Phone: 628-206-2673