Organization
CANCERHOPE A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN ROCKWOOD WILBUR MD (PRESIDENT)
(415) 447-1900
Entity
Organization
Contact information
Practice address
2409 SACRAMENTO STREET, SAN FRANCISCO, CA 94115-2225
(415) 447-1900
(415) 447-1909
Mailing address
2409 SACRAMENTO STREET, SAN FRANCISCO, CA 94115-2225
(415) 447-1900
(415) 447-1909
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A20501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A205010
—
CA
Enumeration date
10/24/2006
Last updated
08/22/2020
Update your record
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