| NPI | 1477624104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOSAL BO Vice President, Medical Staff Gov 415-353-7235 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 220000091) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 220000091) |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA 220000091) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA 220000091) | |
| 207T00000X Neurological Surgery (Licence: CA 220000091) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA 220000091) | |
| 207W00000X Ophthalmology (Licence: CA 220000091) | |
| 207X00000X Orthopaedic Surgery (Licence: CA 220000091) | |
| 207Y00000X Otolaryngology (Licence: CA 220000091) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 220000091) | |
| 208600000X Surgery (Licence: CA 220000091) | |
| 208800000X Urology (Licence: CA 220000091) | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-08-08 |