Provider Demographics
NPI:1497192140
Name:LOEB, ANNA CLARICE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:CLARICE
Last Name:LOEB
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 POTRERO AVE
Mailing Address - Street 2:BLDG 80, WARD 83
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:650-520-8353
Mailing Address - Fax:415-206-8387
Practice Address - Street 1:995 POTRERO AVE
Practice Address - Street 2:BLDG 80, WARD 83
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2859
Practice Address - Country:US
Practice Address - Phone:650-520-8353
Practice Address - Fax:415-206-8387
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program