Healthcare Provider Details

I. General information

NPI: 1255074480
Provider Name (Legal Business Name): GINA RHEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 NELSON RISING LN STE 210
SAN FRANCISCO CA
94143-0003
US

IV. Provider business mailing address

622 W 168TH ST
NEW YORK NY
10032-3720
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA209585
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: