# MONICA HANNON MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeside Obstetrics, Gynecology, & Fertility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033974290
- **Authorized official:** DR. MONICA HANNON MD (CEO)
- **Authorized official phone:** (415) 672-0195

## Contact information

- **Practice address:** 402 8TH AVE STE 201, SAN FRANCISCO, CA 94118-3057
- **Practice address phone:** (415) 741-1000
- **Practice address fax:** (415) 735-3126
- **Mailing address:** 402 8TH AVE STE 201, SAN FRANCISCO, CA 94118-3057
- **Mailing address phone:** (415) 741-1000
- **Mailing address fax:** (415) 735-3126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2024
- **Last updated:** 02/16/2024