Provider Demographics
NPI:1508965229
Name:BREINER, CRISTINA OLIVIA (MD)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:OLIVIA
Last Name:BREINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3905 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-1014
Mailing Address - Country:US
Mailing Address - Phone:415-337-2400
Mailing Address - Fax:415-337-2415
Practice Address - Street 1:3905 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-1014
Practice Address - Country:US
Practice Address - Phone:415-337-2400
Practice Address - Fax:415-337-2415
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA769782084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
7437OtherSFGH INTERNAL USE ONLY
7437OtherSFGH INTERNAL USE ONLY