Organization
SAN FRANCISCO COMMUNITY COLLEGE DISTRICT
Active
Other names
City College of San Francisco
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER GOLDSTEIN (VICE CHANCELLOR OF FINANCE AND ADMI)
(415) 241-2229
Entity
Organization
Contact information
Practice address
50 PHELAN AVE, HC100, SAN FRANCISCO, CA 94112-1821
(415) 239-3110
(415) 239-3193
Mailing address
50 PHELAN AVE, HC100, SAN FRANCISCO, CA 94112-1821
(415) 239-3110
(415) 239-3193
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
CA
261QS1000X
Student Health Clinic/Center
261QS1000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMM70730F
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
08/01/2007
Last updated
08/01/2007
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