Healthcare Provider Details
I. General information
NPI: 1457385379
Provider Name (Legal Business Name): SAN FRANCISCO ONCOLOGY ASSOCIATES MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2006
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2100 WEBSTER ST #326
SAN FRANCISCO CA
94115-2378
US
IV. Provider business mailing address
2100 WEBSTER ST #326
SAN FRANCISCO CA
94115-2378
US
V. Phone/Fax
- Phone: 415-885-8600
- Fax: 415-885-8680
- Phone: 415-885-8600
- Fax: 415-885-8680
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WEI
WANG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 415-885-8600