Healthcare Provider Details

I. General information

NPI: 1902471261
Provider Name (Legal Business Name): MARGARET MONTGOMERY SPINI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 07/03/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 ILLINOIS ST
SAN FRANCISCO CA
94158
US

IV. Provider business mailing address

520 ILLINOIS ST
SAN FRANCISCO CA
94158
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-6892
  • Fax: 415-206-8387
Mailing address:
  • Phone: 415-206-6892
  • Fax: 415-206-8387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA193797
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: