Organization
KENNETH F. BINMOELLER, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH FRANK BINMOELLER M.D (CEO)
(415) 600-1151
Entity
Organization
Contact information
Practice address
2333 BUCHANAN ST, 5TH FLOOR GI LAB, SAN FRANCISCO, CA 94115-1925
(415) 600-1151
(415) 600-1416
Mailing address
3116 W MARCH LN, SUITE 200, STOCKTON, CA 95219-2369
(209) 473-6555
(209) 473-6544
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A49767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A497670
—
CA
01
—
1851321715
NPI NUMBER
CA
01
—
A049767
CA MD LICENSE
CA
Enumeration date
07/28/2008
Last updated
07/28/2008
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