Individual
DENISE MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 VAN NESS AVE FL 4, SAN FRANCISCO, CA 94109-6978
(415) 600-6400
(415) 369-1384
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-6400
(415) 369-1384
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
G60240
CA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G60240
CA
208000000X
Pediatrics Physician
387929
CA
Other
Enumeration date
07/24/2006
Last updated
07/15/2021
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