Individual
IVAN MARK BULAHAN COMETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
845 JACKSON ST, SAN FRANCISCO, CA 94133
(415) 523-6656
Mailing address
237 KEARNY ST # 9109, SAN FRANCISCO, CA 94108-4502
(415) 523-6656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A154088
CA
Other
Enumeration date
06/12/2015
Last updated
01/25/2022
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