Healthcare Provider Details

I. General information

NPI: 1689622078
Provider Name (Legal Business Name): LAURA E HILL-SAKURAI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 10/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1569 SLOAT BLVD #314
SAN FRANCISCO CA
94143-0001
US

IV. Provider business mailing address

1635 DIVISADERO ST STE. 625, BOX 1821
SAN FRANCISCO CA
94143-0001
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-9339
  • Fax: 415-353-3450
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA72293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: