Organization Name: | SAN FRANCISCO UROGYNECOLOGY, INC. |
NPI Number: | 1003010109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALEXANDRA LEE HAESSLER (PHYSICIAN) |
Mailing Address: | 3838 California St Suite 316 San Francisco |
State: | CA US |
Postal Code: | 941181522 |
Phone Number: | 4153679500 |
Fax Number: | 4157237800 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 05/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | A069765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |