Provider Demographics
NPI:1225177397
Name:SAN FRANCISCO GYNECOLOGY, INC.
Entity Type:Organization
Organization Name:SAN FRANCISCO GYNECOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-955-8550
Mailing Address - Street 1:490 POST ST STE 530
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1412
Mailing Address - Country:US
Mailing Address - Phone:415-955-8550
Mailing Address - Fax:415-955-8551
Practice Address - Street 1:490 POST ST
Practice Address - Street 2:STE 530
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1401
Practice Address - Country:US
Practice Address - Phone:415-955-8550
Practice Address - Fax:415-955-8551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG80994261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAYYY48607YMedicare ID - Type Unspecified
CAF85120Medicare UPIN