Individual
EMILY HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 PARNASSUS AVE # A610, SAN FRANCISCO, CA 94143-2202
(415) 353-2200
Mailing address
400 PARNASSUS AVE # A610, SAN FRANCISCO, CA 94143-2202
(415) 353-2200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
PTL8997
CA
208800000X
Urology Physician
PTL8998
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A189402
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
04/19/2021
Last updated
09/07/2023
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