Healthcare Provider Details

I. General information

NPI: 1205255841
Provider Name (Legal Business Name): MARGARET GILBRETH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET EMMOTT MD

II. Dates (important events)

Enumeration Date: 04/10/2014
Last Update Date: 06/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

932 GREENWICH ST
SAN FRANCISCO CA
94133-2626
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-4009
  • Fax:
Mailing address:
  • Phone: 913-972-1185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA143538
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: