Balboa Teen Clinic

LBN: City & County Of San Francisco
Balboa Teen Clinic is an health care organization with primary practice located at 1000 Cayuga Avenue , San Francisco CA 94112. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. City & County Of San Francisco can be contacted via phone (415) 469-4512, or through Istvan, Thomas John via phone (415) 759-4064.

Contact Information

Primary practice address
1000 Cayuga Avenue San Francisco CA 94112
Fax: (415) 469-4096
Website:
Authorized official contact:
Name: Istvan, Thomas John

Health care specialties

Profile Details

NPI number 1538101126
LBN Legal business name City & County Of San Francisco
DBA Doing business as Balboa Teen Clinic
Authorized official Istvan, Thomas John
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Feb 17th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538101126 NPPES
California MEDICAID FHC70466F

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