# 3555 CEASAR CHAVEZ

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

## Provider details

- **NPI number:** 1740309103
- **Authorized official:** MICHAEL P. HOLDSWORTH (VICE PRESIDENT OF ADMIN CFO)
- **Authorized official phone:** (415) 600-3959

## Contact information

- **Practice address:** 3555 CESAR CHAVEZ, SAN FRANCISCO, CA 94110-4403
- **Practice address phone:** (415) 647-8600
- **Mailing address:** 3555 CESAR CHAVEZ, SAN FRANCISCO, CA 94110-4403
- **Mailing address phone:** (415) 647-8600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 220000070 | CA | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 01/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC70042F | — | CA |