NPI 1205001245

Dph /Special Programs for Youth

Organisation Point of Service San Francisco, CA

Practice location

Address: 375 Woodside Ave # 3, San Francisco, CA 94127-1221
Phone: (415) 753-7784

Authorised official

Name: Pierre Marie Rose
Title: Director
Phone: (415) 753-7782

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence PT23157 (CA)

Other Point of Service providers in California →

Registry record

NPI: 1205001245
Entity type: Organization
NPI issued: 29 Apr 2008
Record last updated: 29 Apr 2008

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.