| NPI | 1629550660 |
|---|---|
| Doing Business As | DEPARTMENT OF ADDICTION MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GRACE FERNANDEZ Cpg Director 415-476-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2021-12-14 |