Healthcare Provider Details

I. General information

NPI: 1356773592
Provider Name (Legal Business Name): KARYN DUGGAN MS, CNS, IFMCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 09/11/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 CALIFORNIA ST
SAN FRANCISCO CA
94115-2681
US

IV. Provider business mailing address

70 CURREY AVE
SAUSALITO CA
94965-1852
US

V. Phone/Fax

Practice location:
  • Phone: 415-529-4050
  • Fax:
Mailing address:
  • Phone: 415-505-4423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: