Healthcare Provider Details

I. General information

NPI: 1982771085
Provider Name (Legal Business Name): CITY AND COUNTY OF SAN FRANCISCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1595 QUINTARA ST
SAN FRANCISCO CA
94116-1273
US

IV. Provider business mailing address

101 GROVE ST ROOM 110
SAN FRANCISCO CA
94102-4505
US

V. Phone/Fax

Practice location:
  • Phone: 415-759-2919
  • Fax: 415-759-2898
Mailing address:
  • Phone: 415-554-2539
  • Fax: 415-554-2550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. ELLEN L WOLFE
Title or Position: CHILDREN'S MEDICAL SERVICES DIRECTO
Credential: PNP, DR PH
Phone: 415-575-5712