Tides Centerinic

NPI 1093709206 - Clinic/Center - 261Q00000X

NPI Details
NPI 1093709206
Enumeration Date 09/01/2005
Last Updated 03/12/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CARLINA F. CARLINA
Position EXECUTIVE DIRECTOR
Phone (415) 379-7800
Fax (415) 379-7804
Practice Location
1833 FILLIMORE ST
SAN FRANCISCO CA, 94115, US
Phone (415) 379-7800
Fax (415) 379-7804
Business Location
1833 FILLIMORE ST
SAN FRANCISCO CA, 94115, US
Phone (415) 379-7800
Fax (415) 379-7804
Toxanomy
Taxonomy Code 261Q00000X
License State California
License Number 220000401
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According to our database, Tides Centerinic NPI is 1093709206, taxonomy code is 261Q00000X and license number is 220000401, license state is located at California. Tides Centerinic physically located at 1833 Fillimore St, San Francisco CA, 94115. NPI Number 1033115704 has the healthcare provider type.

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1093709206 NPI number is provided on an as is basis without warranty of any kind. 1093709206 is maintained by the National Plan & Provider Enumeration System. The contents of Tides Centerinic are for informational purposes only.