Individual
RENA MEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 POTRERO AVENUE, BUILDING 5, 3RD FLOOR, SUITE 3D, SAN FRANCISCO, CA 94110
(628) 206-8823
Mailing address
1001 POTRERO AVE, NH 3D, INTER-CAMPUS BOX #0862, SAN FRANCISCO, CA 94110-3518
(628) 206-8823
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A178993
CA
Other
Enumeration date
04/09/2019
Last updated
06/12/2025
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