Provider First Line Business Practice Location Address:
1701 DIVISADERO ST STE 500
Provider Second Line Business Practice Location Address:
UCSF MT. ZION GENERAL MEDICINE CLINIC
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94115-3011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-353-7930
Provider Business Practice Location Address Fax Number:
415-353-7932
Provider Enumeration Date:
09/14/2006