Provider First Line Business Practice Location Address:
KAISER PERMANENTE
Provider Second Line Business Practice Location Address:
CHRONIC PAIN DEPARTMENT,4141 GEARY BOULEVARD, SUITE 212
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:
415-833-4414
Provider Business Practice Location Address Fax Number:
415-833-4781
Provider Enumeration Date:
12/12/2006