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
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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