Healthcare Provider Details

I. General information

NPI: 1972435063
Provider Name (Legal Business Name): DAVID CHARLES CROSBY PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2186 36TH AVE
SAN FRANCISCO CA
94116-1645
US

IV. Provider business mailing address

2186 36TH AVE
SAN FRANCISCO CA
94116-1645
US

V. Phone/Fax

Practice location:
  • Phone: 510-328-3675
  • Fax:
Mailing address:
  • Phone: 510-328-3675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: