Healthcare Provider Details

I. General information

NPI: 1245693167
Provider Name (Legal Business Name): CITY & COUNTY OF SAN FRANCISCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2016
Last Update Date: 04/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 TURK ST
SAN FRANCISCO CA
94102-3703
US

IV. Provider business mailing address

1001 POTRERO AVE BLD 20 RM 2401
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 415-885-2274
  • Fax: 415-885-2344
Mailing address:
  • Phone: 415-759-4065
  • Fax: 415-759-4626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DIANA GUEVARA
Title or Position: HOSPITAL ASSOCIATE ADMINISTRATOR
Credential:
Phone: 415-759-2327