| Tenderloin Health Services | |
|
330 Ellis St San Francisco CA 94102-2735 | |
| (415) 674-6142 | |
| (415) 885-8512 |
| Full Name | Tenderloin Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 Ellis St, San Francisco, California |
| Authorized Official Name and Position | Vitka Eisen (CEO) |
| Authorized Official Contact | 4157623700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tenderloin Health Services 1563 Mission St, 4th Floor San Francisco CA 94103-2543 Ph: (415) 762-3700 | Tenderloin Health Services 330 Ellis St San Francisco CA 94102-2735 Ph: (415) 674-6142 |
| NPI Number | 1447279310 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/21/2017 |
| Medicare PECOS PAC ID | 3678674025 |
|---|---|
| Medicare Enrollment ID | O20150810001655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447279310 | NPI | - | NPPES |
| 091070 | Other | CA | FQHC UDS |
| 220000473 | Other | CA | COMMUNITY CLINIC LICENSE |
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