Provider Demographics
NPI:1609830975
Name:SWENSON, SARA L (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:L
Last Name:SWENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3081 SACRAMENTO ST., SUITE 325
Mailing Address - Street 2:CPMC-FHC
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-0000
Mailing Address - Country:US
Mailing Address - Phone:415-600-2767
Mailing Address - Fax:415-379-9870
Practice Address - Street 1:3081 SACRAMENTO ST., SUITE 325
Practice Address - Street 2:CPMC-FHC
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-0000
Practice Address - Country:US
Practice Address - Phone:415-600-2767
Practice Address - Fax:415-379-9870
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG84644207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0G8464400Medicaid
CA0G8464400Medicare PIN
CA0G8464400Medicaid