Provider First Line Business Practice Location Address:
3700 CALIFORNIA
Provider Second Line Business Practice Location Address:
RM G330 CALIFORNIA PACIFIC MEDICAL CENTER
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-600-2922
Provider Business Practice Location Address Fax Number:
415-600-2306
Provider Enumeration Date:
01/18/2006