Individual
TASCE RIIKA SIMON BONGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
513 PARNASSUS AVE, S-321, SAN FRANCISCO, CA 94143-2205
(415) 476-1239
Mailing address
530 ASHBURY ST, SAN FRANCISCO, CA 94117-2905
(707) 853-1219
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A119598
CA
Other
Enumeration date
04/15/2010
Last updated
02/03/2021
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