| NPI | 1477666352 |
|---|---|
| Former Legal Business Name | THE PEDIATRIC MEDICAL GROUP OF SAN FRANCISCO |
| Entity Type | Organization |
| Authorized Contact | MARY ANN SANTOS FERNANDEZ President 415-242-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: CA C3896319) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-11-30 |