Provider Demographics
NPI:1356323463
Name:GOLDEN GATE MEDICAL GROUP
Entity Type:Organization
Organization Name:GOLDEN GATE MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:ALVIN
Authorized Official - Last Name:FRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-826-7575
Mailing Address - Street 1:3620 CESAR CHAVEZ
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-4315
Mailing Address - Country:US
Mailing Address - Phone:415-826-7575
Mailing Address - Fax:415-826-3014
Practice Address - Street 1:3620 CESAR CHAVEZ
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-4315
Practice Address - Country:US
Practice Address - Phone:415-826-7575
Practice Address - Fax:415-826-3014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00G610840207Q00000X
CA00G551130207Q00000X
CA00G380390207R00000X
CA00A111410208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty