Healthcare Provider Details

I. General information

NPI: 1275638389
Provider Name (Legal Business Name): PAUL LINDENFELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 08/04/2023
Certification Date: 08/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

329 PRIMROSE RD
BURLINGAME CA
94010-4037
US

V. Phone/Fax

Practice location:
  • Phone: 415-885-7671
  • Fax:
Mailing address:
  • Phone: 650-288-1200
  • Fax: 650-288-4180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA101117
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberA101117
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: