Healthcare Provider Details

I. General information

NPI: 1013066018
Provider Name (Legal Business Name): MARTIN F. ERNSTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3641 CALIFORNIA ST
SAN FRANCISCO CA
94118-1701
US

IV. Provider business mailing address

3641 CALIFORNIA ST
SAN FRANCISCO CA
94118-1701
US

V. Phone/Fax

Practice location:
  • Phone: 415-668-0888
  • Fax: 415-752-5391
Mailing address:
  • Phone: 415-668-0888
  • Fax: 415-752-5391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG39501
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: