Provider Demographics
NPI:1558328211
Name:ROSBE, KRISTINA W (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:W
Last Name:ROSBE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1635 DIVISADERO ST
Mailing Address - Street 2:STE 625, BOX 1821
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-476-4029
Mailing Address - Fax:415-476-4150
Practice Address - Street 1:400 PARNASSUS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2202
Practice Address - Country:US
Practice Address - Phone:415-353-2757
Practice Address - Fax:415-353-2603
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2018-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG85659207YP0228X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G856590Medicaid
CA00G856590Medicaid
CA00G856590Medicare PIN