Healthcare Provider Details

I. General information

NPI: 1902887847
Provider Name (Legal Business Name): KATERINA A. CHRISTOPOULOS MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 POTRERO AVENUE BLDG. 80, WARD 86, FL.6
SAN FRANCISCO CA
94110-2859
US

IV. Provider business mailing address

995 POTRERO AVENUE BLDG. 80, WARD 86, FL.6
SAN FRANCISCO CA
94110-2859
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-2400
  • Fax: 628-206-7514
Mailing address:
  • Phone: 628-206-2400
  • Fax: 628-206-7514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number105495
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA105495
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA105495
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: