Individual
DR. CHARLES S. LANDEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 OCEAN AVE, SAN FRANCISCO, CA 94143-0001
(415) 750-6625
(415) 750-6641
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G43841
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
G43841
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G438410
—
CA
Enumeration date
06/03/2006
Last updated
09/11/2025
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