Healthcare Provider Details
I. General information
NPI: 1467497008
Provider Name (Legal Business Name): VALERIE J. FLAHERMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/18/2006
Last Update Date: 06/09/2008
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
1635 DIVISADERO STREET SUITE 625, BOX 1821
SAN FRANCISCO CA
94143-0001
US
V. Phone/Fax
- Phone: 415-476-5153
- Fax: 415-502-4186
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | G80953 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083P0500X |
| Taxonomy | Preventive Medicine/Occupational Environmental Medicine Physician |
| License Number | G80953 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: