Individual
CASSIDY SIEGEL MELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 476-9000
Mailing address
550 16TH ST, SAN FRANCISCO, CA 94143-2549
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A164601
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
07/18/2022
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