Individual
MS. BEVERLY BAGDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 POTRERO AVE # 1M, GENERAL MEDICAL CLINIC, SAN FRANCISCO, CA 94110-3518
(415) 206-8494
(415) 206-6115
Mailing address
1001 POTRERO AVE # 1M, GENERAL MEDICAL CLINIC, SAN FRANCISCO, CA 94110-3518
(415) 206-8494
(415) 206-6115
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN206859
CA
363LF0000X
Family Nurse Practitioner
Primary
NPF10513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
984955
SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
09/11/2025
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