Individual
KRISTEN BASCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 POTRERO AVE BLDG 25, SAN FRANCISCO, CA 94110-3518
(415) 206-5753
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A178857
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A178857
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2019
Last updated
11/16/2023
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