Organization · Type 2 NPI

University of California, San Francisco

Methadone Clinic · San Francisco, CA

NPI number 1407046154 Active

Practice location

1001 Potrero Ave, Sfghmc, BLDG.90, Ward 93
San Francisco, CA 94110-3518

Call (415) 206-8412 Map

Fax (415) 206-6875

Mailing address

PO Box 7464, Dsaam Methadone Maintenance
San Francisco, CA 94120-7464

Specialties and licenses

Taxonomy	Code	License
Methadone Clinic Primary	261QM2800X	None listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

845 other providers at this address

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NPI record

NPI: 1407046154
Entity type: Organization (Type 2)
Issued: Jul 30, 2007
Last updated: Oct 2, 2007
Status: Active

Other names

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Dsaam Opiate Treatment Out-Patient Program -Maintenance · doing business as

Authorized official

Grace Fernandez
Director, CPG Business Services
(415) 206-8969

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407046154

University of California, San Francisco's National Provider Identifier is 1407046154, issued on Jul 30, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in San Francisco, CA. The record was last updated on Oct 2, 2007.