Healthcare Provider Details

I. General information

NPI: 1417391657
Provider Name (Legal Business Name): ROSALYN ELISE PLOTZKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 09/14/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 DIVISADERO ST FL 3
SAN FRANCISCO CA
94143-3010
US

IV. Provider business mailing address

UCSF BOX 0560 550 16TH STREET
SAN FRANCISCO CA
94143
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number150578
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: