Healthcare Provider Details

I. General information

NPI: 1366358442
Provider Name (Legal Business Name): MOLLY MAGNANO MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 WEBSTER ST STE 112
SAN FRANCISCO CA
94115-2374
US

IV. Provider business mailing address

2100 WEBSTER ST STE 112
SAN FRANCISCO CA
94115-2374
US

V. Phone/Fax

Practice location:
  • Phone: 415-923-3060
  • Fax:
Mailing address:
  • Phone: 650-814-2631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MOLLY MAGNANO
Title or Position: PHYSICIAN
Credential: MD
Phone: 650-814-2631