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Organization

TIDES CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALVIN LEE (GOVERNMENT GRANTS MANAGER)
(415) 561-6309
Entity
Organization

Contact information

Practice address
1014 TORNEY AVE, SAN FRANCISCO, CA 94129-1755
(415) 561-6300
Mailing address
1014 TORNEY AVE, SAN FRANCISCO, CA 94129-1755

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
10/27/2009
Last updated
10/27/2009
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