Provider Demographics
NPI:1780781369
Name:GENSLER, LIANNE SIMONE (MD)
Entity type:Individual
Prefix:DR
First Name:LIANNE
Middle Name:SIMONE
Last Name:GENSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LIANNE
Other - Middle Name:SIMONE
Other - Last Name:WENER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:237 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1007
Mailing Address - Country:US
Mailing Address - Phone:415-531-7850
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Practice Address - Street 2:533 PARNASSUS AVENUE, U-384
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-353-2497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83162207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA41978Medicare UPIN