Organization
PROJECT INDIGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA GORDON (MEDICAL OFFICER)
(416) 370-2077
Entity
Organization
Contact information
Practice address
2299 POST ST STE 103, SAN FRANCISCO, CA 94115-3443
(415) 923-1036
Mailing address
338 MAIN ST UNIT 8D, SAN FRANCISCO, CA 94105-2186
(415) 825-2815
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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