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1001 Potrero Ave San Francisco CA 94110-3518 | |
| (415) 759-4067 | |
| (415) 759-4649 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1001 Potrero Ave, San Francisco, California |
| Authorized Official Name and Position | Thomas John Istvan (DIRECTOR OF PFS) |
| Authorized Official Contact | 4157594064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1001 Potrero Ave Building 20 Ward 24 San Francisco CA 94110-3518 Ph: (415) 759-4067 | 1001 Potrero Ave San Francisco CA 94110-3518 Ph: (415) 759-4067 |
| NPI Number | 1417023243 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417023243 | NPI | - | NPPES |
| FHC80220F | Medicaid | CA |
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