Provider Demographics
NPI:1801955992
Name:SAN FRANCISCO MED. CLINIC FOR THE TREATMENT OF PAIN, P.C.
Entity type:Organization
Organization Name:SAN FRANCISCO MED. CLINIC FOR THE TREATMENT OF PAIN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TSUN-NIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-731-1330
Mailing Address - Street 1:1790 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4316
Mailing Address - Country:US
Mailing Address - Phone:415-731-1330
Mailing Address - Fax:415-566-1066
Practice Address - Street 1:1790 26TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-4316
Practice Address - Country:US
Practice Address - Phone:415-731-1330
Practice Address - Fax:415-566-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20668261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty