Organization
TIDES CENTER
Active
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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