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Organization

COMMUNITY COLLEGE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER GOLDSTEIN (VVCE CHANCELLOR OF ADMINISTRATION)
(415) 241-2229
Entity
Organization

Contact information

Practice address
50 PHELAN AVE, SAN FRANCISCO, CA 94112-1821
(415) 241-2229
Mailing address
50 PHELAN AVE, SAN FRANCISCO, CA 94112-1821
(415) 241-2229

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
170344
CA

Other

Enumeration date
02/22/2007
Last updated
08/22/2020
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