Healthcare Provider Details

I. General information

NPI: 1003747759
Provider Name (Legal Business Name): ARCHER MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1470 FULTON ST APT 24
SAN FRANCISCO CA
94117-1445
US

IV. Provider business mailing address

1470 FULTON ST APT 24
SAN FRANCISCO CA
94117-1445
US

V. Phone/Fax

Practice location:
  • Phone: 832-330-6345
  • Fax: 949-909-8275
Mailing address:
  • Phone: 832-330-6345
  • Fax: 949-909-8275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW F ARCHER
Title or Position: CEO
Credential: MD
Phone: 832-330-6345