Healthcare Provider Details

I. General information

NPI: 1437164274
Provider Name (Legal Business Name): SAN FRANCISCO CARDIOVASCULAR SURGICAL MEDICAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 10/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 HAYES ST STE 204
SAN FRANCISCO CA
94117-1078
US

IV. Provider business mailing address

2250 HAYES ST STE 204
SAN FRANCISCO CA
94117-1078
US

V. Phone/Fax

Practice location:
  • Phone: 415-387-9992
  • Fax: 415-387-9996
Mailing address:
  • Phone: 415-387-9992
  • Fax: 415-387-9996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EDDIE TANG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 415-387-9992