Healthcare Provider Details

I. General information

NPI: 1992722839
Provider Name (Legal Business Name): CARLA PIA KUON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 10/10/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 DIVISADERO STREET 4TH FLOOR
SAN FRANCISCO CA
94143
US

IV. Provider business mailing address

338 SPEAR STREET UNIT 9B
SAN FRANCISCO CA
94105
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7700
  • Fax: 415-353-7358
Mailing address:
  • Phone: 415-500-8205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA89882
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: