Individual
KRISTEN ELIZABETH MENGWASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 POTRERO AVENUE BLDG 90 FL2, SAN FRANCISCO, CA 94110
(628) 206-4777
(628) 206-4257
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(415) 514-3000
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A180354
CA
207RR0500X
Rheumatology Physician
Primary
A180354
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
04/07/2026
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