Organization
ST FRANCIS OPHTHALMOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRUDY K MARIN (ACCOUNTS MANAGER)
(650) 992-1300
Entity
Organization
Contact information
Practice address
1440 SOUTHGATE AVE, DALY CITY, CA 94015-2246
(650) 992-1300
(650) 992-8391
Mailing address
1440 SOUTHGATE AVE, DALY CITY, CA 94015-2246
(650) 992-1300
(650) 992-8391
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB7796
RR MEDICARE/GROUP
CA
05
—
GR0066060
—
CA
01
—
ZZZ47199Z
BLUE SHIELD-SG
CA
Enumeration date
07/05/2006
Last updated
06/08/2010
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