Organization
RICHARD R. TAVERNETTI, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ROLAND TAVERNETTI M.D. (OWNER)
(415) 923-3033
Entity
Organization
Contact information
Practice address
2100 WEBSTER ST, SUITE 115, SAN FRANCISCO, CA 94115-2373
(415) 923-3033
(415) 923-3083
Mailing address
2100 WEBSTER ST, SUITE 115, SAN FRANCISCO, CA 94115-2373
(415) 923-3033
(415) 923-3083
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
A23135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A231350
PRIVATE HEALTH INS CARRIE
CA
05
—
00A231350
—
CA
01
—
1558452151
NPI FOR INDIVIDUAL
CA
Enumeration date
01/26/2007
Last updated
04/09/2008
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