NPI 1003249657

Tides Center

Organisation Exclusive Provider Organization San Francisco, CA

Practice location

Address: 1008 General Kennedy Ave Suite R, San Francisco, CA 94129-1729
Phone: (415) 236-1166

Authorised official

Name: Sarah Rodriguez'G
Title: Executive Director
Phone: (415) 236-1166

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1003249657
Entity type: Organization
NPI issued: 19 Aug 2013
Record last updated: 16 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.