Organization
CITY IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL M FONSECA DC (DIRECTOR)
(415) 647-2163
Entity
Organization
Contact information
Practice address
2588 MISSION ST, SUITE 201, SAN FRANCISCO, CA 94110-2592
(415) 647-2163
(415) 695-0673
Mailing address
2588 MISSION ST, SUITE 201, SAN FRANCISCO, CA 94110-2592
(415) 647-2163
(415) 695-0673
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
DC24364
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DC0243640
—
CA
Enumeration date
12/11/2006
Last updated
08/22/2020
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