Healthcare Provider Details

I. General information

NPI: 1164680617
Provider Name (Legal Business Name): CALIFORNIA PACIFIC MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 BATTERY ST APT 1417
SAN FRANCISCO CA
94111-2328
US

IV. Provider business mailing address

550 BATTERY ST APT 1417
SAN FRANCISCO CA
94111-2328
US

V. Phone/Fax

Practice location:
  • Phone: 415-517-7242
  • Fax:
Mailing address:
  • Phone: 415-517-7242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License NumberA98523
License Number StateCA

VIII. Authorized Official

Name: DR. PAUL AROWNOWITZ
Title or Position: PROGRAM DIRECTOR
Credential: M.D
Phone: 415-600-1133