Healthcare Provider Details

I. General information

NPI: 1609501733
Provider Name (Legal Business Name): AVIVA FLIKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2022
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 POST ST STE 500
SAN FRANCISCO CA
94115-3495
US

IV. Provider business mailing address

151 BURNSIDE AVE
SAN FRANCISCO CA
94131-3223
US

V. Phone/Fax

Practice location:
  • Phone: 415-885-7700
  • Fax:
Mailing address:
  • Phone: 294-890-8212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberA180643
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: