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Organization
CALIFORNIA PACIFIC MEDICAL CENTER
Active
Organization
CALIFORNIA PACIFIC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P HOLDSWORTH (VP OF ADMINISTRATIONS CFO)
(415) 600-3959
Entity
Organization
Contact information
Practice address
45 CASTRO STREET, SAN FRANCISCO, CA 94114
(415) 600-7180
(415) 600-7185
Mailing address
PO BOX 7999, SAN FRANCISCO, CA 94115
(415) 600-7180
(415) 600-7185
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000197
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZB3805Z
BLUE SHIELD
CA
Enumeration date
12/04/2006
Last updated
01/20/2022
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