Organization
CPMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VON TA (PHYSICIAN)
(415) 204-1566
Entity
Organization
Contact information
Practice address
2315 WEBSTER ST, SAN FRANCISCO, CA 94115-1806
(415) 204-5086
Mailing address
700 PRESIDIO AVE APT 401, SAN FRANCISCO, CA 94115-2903
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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