Healthcare Provider Details

I. General information

NPI: 1285834432
Provider Name (Legal Business Name): PHILIP ROBERT ZIRING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 VAN NESS AVE
SAN FRANCISCO CA
94102-6020
US

IV. Provider business mailing address

95 CONVENT CT
SAN RAFAEL CA
94901-1333
US

V. Phone/Fax

Practice location:
  • Phone: 415-575-5709
  • Fax: 415-575-5799
Mailing address:
  • Phone: 415-459-7050
  • Fax: 415-459-7035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG61690
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: