Provider First Line Business Practice Location Address:
4141 GEARY BLVD.
Provider Second Line Business Practice Location Address:
3RD FLOOR DEPARTMENT OF PSYCHIATRY
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:
415-833-2292
Provider Business Practice Location Address Fax Number:
415-833-2248
Provider Enumeration Date:
11/24/2006