Organization
PSYCHIATRIC HEALTHCARE MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES P. CONNOR MD (CEO)
(415) 522-9297
Entity
Organization
Contact information
Practice address
3569 SACRAMENTO ST, SAN FRANCISCO, CA 94118-1866
(415) 522-9297
(415) 771-4048
Mailing address
3569 SACRAMENTO ST, SAN FRANCISCO, CA 94118-1866
(415) 522-9297
(415) 771-4048
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
G65182
CA
Other
Enumeration date
01/26/2007
Last updated
06/10/2011
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