Provider Demographics
NPI:1912615188
Name:CITY AND COUNTY OF SAN FRANCISCO
Entity Type:Organization
Organization Name:CITY AND COUNTY OF SAN FRANCISCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR, DEPT OF DISABIL
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-355-6767
Mailing Address - Street 1:PO BOX 7988
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94120-7988
Mailing Address - Country:US
Mailing Address - Phone:415-355-3693
Mailing Address - Fax:
Practice Address - Street 1:1650 MISSION STREET
Practice Address - Street 2:5TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103
Practice Address - Country:US
Practice Address - Phone:415-355-3693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY AND COUNTY OF SAN FRANCISCO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty