Healthcare Provider Details

I. General information

NPI: 1962674390
Provider Name (Legal Business Name): ZIYAD HANNON, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 03/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 OCEAN AVENUE SUITE 309
SAN FRANCISCO CA
94132-1647
US

IV. Provider business mailing address

2645 OCEAN AVENUE SUITE 309
SAN FRANCISCO CA
94132-1647
US

V. Phone/Fax

Practice location:
  • Phone: 415-334-0999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC40187
License Number StateCA

VIII. Authorized Official

Name: DR. ZIYAD HANNON
Title or Position: OWNER
Credential:
Phone: 415-334-0999