Healthcare Provider Details

I. General information

NPI: 1508965229
Provider Name (Legal Business Name): CRISTINA OLIVIA BREINER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 MISSION ST
SAN FRANCISCO CA
94112-1014
US

IV. Provider business mailing address

3905 MISSION ST
SAN FRANCISCO CA
94112-1014
US

V. Phone/Fax

Practice location:
  • Phone: 415-337-2400
  • Fax: 415-337-2415
Mailing address:
  • Phone: 415-337-2400
  • Fax: 415-337-2415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberA76978
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: