Healthcare Provider Details

I. General information

NPI: 1952808891
Provider Name (Legal Business Name): CAMILLE RATLIFF GUZEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAMILLE DANICE RATLIFF

II. Dates (important events)

Enumeration Date: 04/08/2018
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST FL 5
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

1825 4TH ST FL 5
SAN FRANCISCO CA
94143-2350
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2967
  • Fax:
Mailing address:
  • Phone: 415-353-2967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA181167
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: