Organization
PACIFIC VISION MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE FAKTOROVICH (ADMINISTRATOR)
(415) 922-9500
Entity
Organization
Contact information
Practice address
1 DANIEL BURNHAM CT, STE 170C, SAN FRANSICO, CA 94133
(415) 922-9500
Mailing address
1 DANIEL BURNHAM CT, STE 110, SAN FRANSICO, CA 94133
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
09/24/2021
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