Organization
SAN FRANCISCO DIGESTIVE DISEASE MEDICAL GROUP INC A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY FUNG MD (PRESIDENT)
(415) 362-3336
Entity
Organization
Contact information
Practice address
1 SHRADER ST STE 500, SAN FRANCISCO, CA 94117-1044
(415) 362-3336
(415) 362-7542
Mailing address
1 SHRADER ST STE 500, SAN FRANCISCO, CA 94117-1044
(415) 362-3336
(415) 362-7542
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417017435
MEDICARE NPI
CA
Enumeration date
12/11/2006
Last updated
05/14/2019
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