Individual
ANDRE RENAY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 POTRERO AVE, RM 3A37, SAN FRANCISCO, CA 94110-3518
(415) 206-4634
(415) 206-5484
Mailing address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(628) 206-8000
(415) 206-5484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G77365
CA
208600000X
Surgery Physician
Primary
G77365
CA
2086S0102X
Surgical Critical Care Physician
G77365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G773650
—
CA
01
—
220021173
RAILROAD MEDICARE
CA
Enumeration date
05/23/2006
Last updated
04/14/2026
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