Healthcare Provider Details

I. General information

NPI: 1215519400
Provider Name (Legal Business Name): MARY LE DINH GETZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY LE DINH

II. Dates (important events)

Enumeration Date: 04/27/2021
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

4860 Y ST STE 3100
SACRAMENTO CA
95817-2309
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-9056
  • Fax:
Mailing address:
  • Phone: 916-703-2261
  • Fax: 916-734-8490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT222469
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA182528
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: