Healthcare Provider Details

I. General information

NPI: 1578625034
Provider Name (Legal Business Name): CARL STUART HANGEE-BAUER ND, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 20TH ST
SAN FRANCISCO CA
94107-2810
US

IV. Provider business mailing address

1615 20TH ST
SAN FRANCISCO CA
94107-2810
US

V. Phone/Fax

Practice location:
  • Phone: 415-643-6600
  • Fax: 415-643-6644
Mailing address:
  • Phone: 415-643-6600
  • Fax: 415-643-6644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC3595
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-2
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: