# DEPT OF VETERANS AFFAIRS

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

## Provider details

- **NPI number:** 1104908110
- **Authorized official:** GAY GILLILAND (NURSE PRACTITIONER)
- **Authorized official phone:** (415) 221-4810

## Contact information

- **Practice address:** 4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
- **Practice address phone:** (415) 221-4810
- **Mailing address:** 148 CUVIER ST, SAN FRANCISCO, CA 94112-1007
- **Mailing address phone:** (415) 221-4810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | RN372083 | CA | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 08/08/2008