Provider Demographics
NPI:1316084072
Name:YMCA OF SAN FRANCISCO
Entity type:Organization
Organization Name:YMCA OF SAN FRANCISCO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT AND CFO/CA
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-777-9622
Mailing Address - Street 1:631 HOWARD ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3907
Mailing Address - Country:US
Mailing Address - Phone:415-281-6700
Mailing Address - Fax:
Practice Address - Street 1:1650 S. AMPHLETT BLVD.
Practice Address - Street 2:SUITE 113
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402
Practice Address - Country:US
Practice Address - Phone:650-581-1542
Practice Address - Fax:650-393-4511
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YMCA OF SAN FRANCISCO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-31
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health