Provider Demographics
NPI:1447409370
Name:VASCULAR ASSOCIATES OF SAN FRANCISCO
Entity Type:Organization
Organization Name:VASCULAR ASSOCIATES OF SAN FRANCISCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SERVICE OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:DITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-759-1374
Mailing Address - Street 1:ONE SHRADER ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-1018
Mailing Address - Country:US
Mailing Address - Phone:415-831-4208
Mailing Address - Fax:415-831-4625
Practice Address - Street 1:ONE SHRADER ST
Practice Address - Street 2:SUITE 600
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-1018
Practice Address - Country:US
Practice Address - Phone:415-831-4208
Practice Address - Fax:415-831-4625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA821912086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty