NPI 1083940969

Tides Center

Organisation Exclusive Provider Organization San Francisco, CA

Practice location

Address: 1014 Torney Ave, San Francisco, CA 94129-1755
Phone: (415) 561-6300

Authorised official

Name: Alvin Lee
Title: Government Grants Manager
Phone: (415) 561-6309

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1083940969
Entity type: Organization
NPI issued: 27 Oct 2009
Record last updated: 27 Oct 2009

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.