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Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLA PERISSINOTTO MD MHS (OWNER/CHIEF MEDICAL OFFICER)
(415) 712-0501
Entity
Organization

Contact information

Practice address
1753 CARROLL AVE, SAN FRANCISCO, CA 94124-2647
(415) 712-0501
(415) 712-1431
Mailing address
1753 CARROLL AVE, SAN FRANCISCO, CA 94124-2647
(157) 120-5014
(415) 712-1431

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician

Other

Enumeration date
06/27/2023
Last updated
08/24/2024
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