Healthcare Provider Details

I. General information

NPI: 1477819456
Provider Name (Legal Business Name): KEVIN S ATTENHOFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: KEVIN SPENCER ATTENHOFER

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 DUBOCE AVE STE 175A
SAN FRANCISCO CA
94117-3389
US

IV. Provider business mailing address

601 DUBOCE AVE STE 175A
SAN FRANCISCO CA
94117-3389
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-5760
  • Fax:
Mailing address:
  • Phone: 415-600-5760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number1161095
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: