Healthcare Provider Details
I. General information
NPI: 1679486450
Provider Name (Legal Business Name): RADICAL HEALTH MEDICAL GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
244 KEARNY ST FL 5
SAN FRANCISCO CA
94108-4526
US
IV. Provider business mailing address
244 KEARNY ST FL 5
SAN FRANCISCO CA
94108-4526
US
V. Phone/Fax
- Phone: 415-583-0261
- Fax:
- Phone: 415-583-0261
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0200X |
| Taxonomy | Oncology Registered Nurse |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KYON
HOOD
Title or Position: PRESIDENT
Credential: MD
Phone: 540-656-6464