Organization
SAN FRANCISCO COMMUNITY COLLEGE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER GOLDSTEIN (VICE CHANCELLOR OF ADMINISTRATION)
(415) 241-2229
Entity
Organization
Contact information
Practice address
50 PHELAN AVE, SAN FRANCISCO, CA 94112-1821
(415) 241-2229
Mailing address
32 LYON ST, SAN FRANCISCO, CA 94117-3024
(415) 863-9517
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
196124
CA
261QA0005X
Ambulatory Family Planning Facility
Primary
196124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196124
REGISTERED NURSE LICENSE
CA
01
—
3399
NURSE PRACTITIONER CERTIF
CA
Enumeration date
03/16/2007
Last updated
09/11/2025
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