Healthcare Provider Details

I. General information

NPI: 1902066566
Provider Name (Legal Business Name): JOSEPH GEORGE ENGELMAN MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 7TH ST
SAN FRANCISCO CA
94103-4030
US

IV. Provider business mailing address

356 7TH ST
SAN FRANCISCO CA
94103-4030
US

V. Phone/Fax

Practice location:
  • Phone: 415-487-5595
  • Fax: 415-437-9231
Mailing address:
  • Phone: 415-487-5595
  • Fax: 415-437-9231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberG28201
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: