Healthcare Provider Details

I. General information

NPI: 1265541338
Provider Name (Legal Business Name): CARLIN H SENTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 DIVISADERO ST
SAN FRANCISCO CA
94115-3011
US

IV. Provider business mailing address

1701 DIVISADERO ST
SAN FRANCISCO CA
94115-3011
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7900
  • Fax: 415-353-7901
Mailing address:
  • Phone: 415-353-7900
  • Fax: 415-353-7901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberML20008276
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA104234
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License NumberA104234
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: