Provider Demographics
NPI:1891062980
Name:PC PROFESSIONAL CARE INC
Entity Type:Organization
Organization Name:PC PROFESSIONAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-940-1446
Mailing Address - Street 1:3053 FILLMORE ST
Mailing Address - Street 2:#254
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4009
Mailing Address - Country:US
Mailing Address - Phone:415-940-1446
Mailing Address - Fax:415-651-9252
Practice Address - Street 1:835 JACKSON ST
Practice Address - Street 2:#403
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4800
Practice Address - Country:US
Practice Address - Phone:415-940-1446
Practice Address - Fax:415-651-9252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG57860207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty