Organization
KENNETH I. GOTTLIEB, M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH I GOTTLIEB M.D. (PRESIDENT)
(415) 346-2103
Entity
Organization
Contact information
Practice address
909 HYDE ST STE 430, SAN FRANCISCO, CA 94109-4846
(415) 346-2103
Mailing address
909 HYDE ST STE 430, SAN FRANCISCO, CA 94109-4846
(415) 346-2103
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
G23013
CA
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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