Tides Center
NPI #1083940969 in San Francisco, California
Provider Information
- NPI Number
- 1083940969
- Entity Type
- Organization
- Organization Name
- Tides Center
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Oct 27, 2009
- Last Updated
- Oct 27, 2009
Practice Location
- Address
- 1014 TORNEY AVE
- City
- San Francisco
- State
- California
- ZIP Code
- 94129-1755
- Phone
- (415) 561-6300
Authorized Official
- Name
- MR. ALVIN LEE
- Title
- GOVERNMENT GRANTS MANAGER
- Phone
- (415) 561-6309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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