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1263 Mission St San Francisco CA 94103-2705 | |
| (415) 502-3000 | |
| (415) 514-6466 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation |
| Location | 1263 Mission St, San Francisco, California |
| Authorized Official Name and Position | Grace Fernandez (DIRECTOR, CPG BUSINESS SERVICES) |
| Authorized Official Contact | 4152068969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 743749 Los Angeles CA 90074-3749 Ph: () - | 1263 Mission St San Francisco CA 94103-2705 Ph: (415) 502-3000 |
| NPI Number | 1457550238 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457550238 | NPI | - | NPPES |
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