# WESTSIDE COMMUNITY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013262609
- **Authorized official:** DR. MARY JONES (CEO)
- **Authorized official phone:** (415) 431-9000

## Contact information

- **Practice address:** 1301 PIERCE ST, SAN FRANCISCO, CA 94115-4005
- **Practice address phone:** (415) 563-8200
- **Practice address fax:** (415) 563-5985
- **Mailing address:** 1301 PIERCE ST, SAN FRANCISCO, CA 94115-4005
- **Mailing address phone:** (415) 563-8200
- **Mailing address fax:** (415) 563-5985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | IMF65983 | CA | Yes |
| 305S00000X | Point of Service | IMF 65983 | CA | — |

## Other

- **Enumeration date:** 07/19/2012
- **Last updated:** 07/19/2012