Provider Demographics
NPI:1952485013
Name:HAND CENTER OF SAN FRANCISCO
Entity Type:Organization
Organization Name:HAND CENTER OF SAN FRANCISCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BICKEL
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:415-751-4263
Mailing Address - Street 1:1700 CALIFORNIA ST
Mailing Address - Street 2:SUITE 450
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4586
Mailing Address - Country:US
Mailing Address - Phone:415-751-4263
Mailing Address - Fax:415-359-1925
Practice Address - Street 1:1700 CALIFORNIA ST
Practice Address - Street 2:SUITE 450
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4586
Practice Address - Country:US
Practice Address - Phone:415-751-4263
Practice Address - Fax:415-359-1925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG65480207XS0106X
2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ62372ZOtherBLUE SHIELD GROUP#
CA020045873OtherRAILROAD PROVIDER ID
CAZZZ62372ZOtherBLUE SHIELD GROUP#
CA000BD6750Medicare PIN
CA4019270001Medicare NSC