Healthcare Provider Details

I. General information

NPI: 1689689069
Provider Name (Legal Business Name): SAINT FRANCIS MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 HYDE ST STE 125
SAN FRANCISCO CA
94109-4832
US

IV. Provider business mailing address

909 HYDE ST STE 125
SAN FRANCISCO CA
94109-4832
US

V. Phone/Fax

Practice location:
  • Phone: 415-771-4366
  • Fax: 415-771-6412
Mailing address:
  • Phone: 415-771-4366
  • Fax: 415-771-6412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JEAN KHOURI HADDAD
Title or Position: M.D
Credential:
Phone: 415-771-4366