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General NPI Number Information
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NPI Number | 1174869473
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Entity Type | Organization
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Legal Business Name | CALIFORNIA PACIFIC MEDICAL CENTER
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Dates
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Enumeration Date | 12/14/2012
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 1625 VAN NESS AVE FL 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-3369
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Country | US
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Telephone | 415-600-6200
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Fax | 415-479-1433
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Provider Business Mailing Address
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Address Line | 1625 VAN NESS AVE FL 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-3369
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Country | US
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Telephone | 415-600-6200
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Fax | 415-749-1433
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | BELINDA STROUD
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Credential | PSY.D.
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Telephone | 415-600-6274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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