Provider Demographics
NPI:1699837781
Name:SAN FRANCISCO UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:SAN FRANCISCO UNIFIED SCHOOL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PNP
Authorized Official - Phone:415-242-2615
Mailing Address - Street 1:1515 QUINTARA STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1273
Mailing Address - Country:US
Mailing Address - Phone:415-242-2615
Mailing Address - Fax:415-242-2618
Practice Address - Street 1:1515 QUINTARA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1273
Practice Address - Country:US
Practice Address - Phone:415-242-2615
Practice Address - Fax:415-242-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility