| Ssg-ottp San Francisco | |
|
98 Bosworth St San Francisco CA 94112-1002 | |
| (415) 551-0975 | |
| Not Available |
| Full Name | Ssg-ottp San Francisco |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 98 Bosworth St, San Francisco, California |
| Authorized Official Name and Position | Herbert Hatanaka (SSG EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2135531800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssg-ottp San Francisco 605 W Olympic Blvd Ste 600 Los Angeles CA 90015-1475 Ph: (213) 553-1800 | Ssg-ottp San Francisco 98 Bosworth St San Francisco CA 94112-1002 Ph: (415) 551-0975 |
| NPI Number | 1558555730 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558555730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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