Provider Demographics
NPI:1932374501
Name:DALY CITY HOSPITALIST GROUP, INC.
Entity Type:Organization
Organization Name:DALY CITY HOSPITALIST GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELUB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-301-6812
Mailing Address - Street 1:1900 SULLIVAN AVE
Mailing Address - Street 2:SETON MEDICAL CENTER, MEDICAL STAFF OFFICE
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2200
Mailing Address - Country:US
Mailing Address - Phone:650-991-6863
Mailing Address - Fax:650-991-6024
Practice Address - Street 1:1900 SULLIVAN AVE
Practice Address - Street 2:SETON MEDICAL CENTER, MEDICAL STAFF OFFICE
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2200
Practice Address - Country:US
Practice Address - Phone:650-991-6863
Practice Address - Fax:650-991-6024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital