Individual
JACQUELINE M GRUPP-PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 POTRERO AVE, BLDG. 25, 1ST FLOOR, SAN FRANCISCO, CA 94110-3518
(628) 206-8111
(628) 206-9038
Mailing address
1001 POTRERO AVE, BLDG. 25, 1ST FLOOR, SAN FRANCISCO, CA 94110-3518
(628) 206-8111
(628) 206-9038
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G149165
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35-07-4439
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
G149165
CA
Other
Enumeration date
06/28/2006
Last updated
05/11/2026
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