Organization
WESTSIDE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JONES (CEO)
(415) 431-9000
Entity
Organization
Contact information
Practice address
1301 PIERCE ST, SAN FRANCISCO, CA 94115-4005
(415) 563-8200
(415) 563-5985
Mailing address
1301 PIERCE ST, SAN FRANCISCO, CA 94115-4005
(415) 563-8200
(415) 563-5985
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
IMF65983
CA
305S00000X
Point of Service
IMF 65983
CA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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