Healthcare Provider Details

I. General information

NPI: 1003082918
Provider Name (Legal Business Name): CITY AND COUNTY OF SAN FRANCISCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 3RD ST BUILDING B, SUITE 400
SAN FRANCISCO CA
94124-1409
US

IV. Provider business mailing address

1380 HOWARD ST 5TH FLOOR
SAN FRANCISCO CA
94103-2638
US

V. Phone/Fax

Practice location:
  • Phone: 415-970-3800
  • Fax: 415-970-3855
Mailing address:
  • Phone: 415-255-3699
  • Fax: 415-252-3015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT PAUL CABAJ
Title or Position: DIRECTOR
Credential: M.D.
Phone: 415-255-3401