Portola Gardens LLC
NPI #1053803502 in San Francisco, California
Provider Information
- NPI Number
- 1053803502
- Entity Type
- Organization
- Organization Name
- Portola Gardens LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 31, 2018
- Last Updated
- May 31, 2018
Practice Location
- Address
- 350 UNIVERSITY STREET
- City
- San Francisco
- State
- California
- ZIP Code
- 94143
- Phone
- (415) 337-1587
Authorized Official
- Name
- MR. MARK J. CIMINO
- Title
- LICENSEE
- Phone
- (916) 704-6275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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