Provider First Line Business Practice Location Address: 
1500 OWENS ST
    Provider Second Line Business Practice Location Address: 
UCSF ORTHOPAEDIC INSTITUTE
    Provider Business Practice Location Address City Name: 
SAN FRANCISCO
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
94158-2332
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
415-353-9400
    Provider Business Practice Location Address Fax Number: 
415-353-9643
    Provider Enumeration Date: 
05/18/2007