Sfgh Medical Group Orthopedic Appliance Facility

LBN: University Of California Sfgh Medical Group
Sfgh Medical Group Orthopedic Appliance Facility is an health care organization with primary practice located at 2550 23Rd St Bldg 9, Rm 119, San Francisco CA 94110-3518. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. University Of California Sfgh Medical Group can be contacted via phone (628) 206-4387, or through Fernandez, Grace via phone (415) 206-8969.

Contact Information

Primary practice address
2550 23Rd St Bldg 9, Rm 119 San Francisco CA 94110-3518
Phone: (628) 206-4387
Fax: (628) 206-4389
Website:
Map and Directions
Authorized official contact:
Name: Fernandez, Grace
Phone: (415) 206-8969

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1518932631
LBN Legal business name University Of California Sfgh Medical Group
DBA Doing business as Sfgh Medical Group Orthopedic Appliance Facility
Authorized official Fernandez, Grace
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 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 1518932631 NPPES
California MEDICAID GXC000280

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