Healthcare Provider Details

I. General information

NPI: 1215844188
Provider Name (Legal Business Name): PRECISION LIFESTYLE MEDICINE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4879 MISSION ST
SAN FRANCISCO CA
94112-3413
US

IV. Provider business mailing address

20500 BELSHAW AVE # EXCA1537
CARSON CA
90746-3506
US

V. Phone/Fax

Practice location:
  • Phone: 415-579-2342
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KUNJ PATEL
Title or Position: OWNER
Credential: MD
Phone: 415-579-2342