Organization
RICHARD R. TAVERNETTI, M.D., INC
Active
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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