Provider First Line Business Practice Location Address:
2340 CLAY ST FL 7
Provider Second Line Business Practice Location Address:
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:
94115-1932
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-600-5739
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/09/2006