Main Clinic | |
155 5th St Suite 23m San Francisco CA 94103-2919 | |
(415) 929-6501 | |
(415) 929-6654 |
Full Name | Main Clinic |
---|---|
Speciality | Dentist |
Location | 155 5th St, San Francisco, California |
Authorized Official Name and Position | Ed Pegueros (ASST DEAN, BUDGET & FIN ADMIN) |
Authorized Official Contact | 4153517192 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Main Clinic 155 5th St Suite 23m San Francisco CA 94103-2919 Ph: (415) 929-6501 | Main Clinic 155 5th St Suite 23m San Francisco CA 94103-2919 Ph: (415) 929-6501 |
NPI Number | 1023145307 |
---|---|
Provider Enumeration Date | 02/27/2007 |
Last Update Date | 07/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023145307 | NPI | - | NPPES |
G01001-01 | Other | CA | MEDI-CAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
News Archive
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