Healthcare Provider Details

I. General information

NPI: 1982737524
Provider Name (Legal Business Name): CITY & COUNTY OF SAN FRANCISCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 GROVE ST ROOM 419
SAN FRANCISCO CA
94102-4505
US

IV. Provider business mailing address

101 GROVE ST ROOM 419
SAN FRANCISCO CA
94102-4505
US

V. Phone/Fax

Practice location:
  • Phone: 415-554-2800
  • Fax: 415-431-0651
Mailing address:
  • Phone: 415-554-2800
  • Fax: 415-431-0651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number1241
License Number StateCA

VIII. Authorized Official

Name: TIMOTHY ARNOLD
Title or Position: DEPUTY DIRECTOR, PFS
Credential:
Phone: 415-759-3351