Tides Center
NPI #1003249657 in San Francisco, California
Provider Information
- NPI Number
- 1003249657
- Entity Type
- Organization
- Organization Name
- Tides Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TIDES CENTER
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Aug 19, 2013
- Last Updated
- Dec 16, 2016
Practice Location
- Address
- 1008 GENERAL KENNEDY AVE
- Address 2
- SUITE R
- City
- San Francisco
- State
- California
- ZIP Code
- 94129-1729
- Phone
- (415) 236-1166
Authorized Official
- Name
- SARAH RODRIGUEZ'G, M.S.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (415) 236-1166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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