Healthcare Provider Details

I. General information

NPI: 1619395027
Provider Name (Legal Business Name): ONOUWEM NSEYO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 08/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE # 6D SFGH OB GYN
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

2350 W EL CAMINO REAL FL 2
MOUNTAIN VIEW CA
94040-6203
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-4069
  • Fax:
Mailing address:
  • Phone: 510-204-5600
  • Fax: 510-506-7722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA139565
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: