Organization
PORTOLA GARDENS LLC
Active
Organization
PORTOLA GARDENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J CIMINO (LICENSEE)
(916) 486-9639
Entity
Organization
Contact information
Practice address
350 UNIVERSITY STREET, SAN FRANCISCO, CA 94134
(415) 337-1587
(415) 337-1573
Mailing address
350 UNIVERSITY STREET, SAN FRANCISCO, CA 94134
(415) 337-1587
(415) 337-1573
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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