Provider First Line Business Practice Location Address:
SFGH 1001 POTRERO AVE SUITE 6B
Provider Second Line Business Practice Location Address:
UCSF CHILD & ADOLESCENT SERVICES
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-206-6015
Provider Business Practice Location Address Fax Number:
215-206-3142
Provider Enumeration Date:
02/01/2007