Healthcare Provider Details

I. General information

NPI: 1184627515
Provider Name (Legal Business Name): CATHERINE ENG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: CATHERINE ENG CHAN

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 BUSH ST
SAN FRANCISCO CA
94109-5611
US

IV. Provider business mailing address

1333 BUSH ST
SAN FRANCISCO CA
94109-5611
US

V. Phone/Fax

Practice location:
  • Phone: 415-292-8886
  • Fax: 415-292-8745
Mailing address:
  • Phone: 415-292-8886
  • Fax: 415-292-8745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberG44204
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: