Individual
THEORA BORDON CIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 PARNASSUS AVE RM M-987, UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, SAN FRANCISCO, CA 94143-2204
(415) 476-1528
Mailing address
1228 48TH AVE, SAN FRANCISCO, CA 94122-1013
(415) 307-4526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A162133
CA
2084P0800X
Psychiatry Physician
A162133
CA
208M00000X
Hospitalist Physician
Primary
A162133
CA
Other
Enumeration date
04/11/2017
Last updated
12/27/2023
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