Organization
DPH /SPECIAL PROGRAMS FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE MARIE ROSE MD (DIRECTOR)
(415) 753-7782
Entity
Organization
Contact information
Practice address
375 WOODSIDE AVE # 3, SAN FRANCISCO, CA 94127-1221
(415) 753-7784
Mailing address
375 WOODSIDE AVE # 3, SAN FRANCISCO, CA 94127-1221
(415) 753-7784
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PT23157
CA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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