Organization
IES MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH F BINMOELLER MD (PRESIDENT)
(415) 600-1151
Entity
Organization
Contact information
Practice address
1101 VAN NESS AVE RM 31583D, SAN FRANCISCO, CA 94109-6919
(415) 600-1151
(415) 447-6330
Mailing address
DEPT 34754, PO BOX 39000, SAN FRANCISCO, CA 94139-0001
(415) 600-1151
(415) 447-6330
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A497670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851321715
DR B NPI
CA
01
—
A049767
DR. B MD LIC CAL
CA
Enumeration date
01/17/2007
Last updated
02/14/2020
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