Healthcare Provider Details

I. General information

NPI: 1932470978
Provider Name (Legal Business Name): ALISSON DIANN SOMBREDERO SANCHEZ M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2012
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 CALIFORNIA ST
SAN FRANCISCO CA
94118-1522
US

IV. Provider business mailing address

325 DISTEL CIR
LOS ALTOS CA
94022-1408
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-4900
  • Fax: 415-369-1367
Mailing address:
  • Phone: 415-600-4900
  • Fax: 415-369-1367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA119736
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: