Healthcare Provider Details

I. General information

NPI: 1982104162
Provider Name (Legal Business Name): SAN FRANCISCO UNIFIED PHYSICIANS GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2018
Last Update Date: 02/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 JACKSON ST
SAN FRANCISCO CA
94133-4851
US

IV. Provider business mailing address

2440 16TH ST # 108
SAN FRANCISCO CA
94103-4211
US

V. Phone/Fax

Practice location:
  • Phone: 415-982-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA LIN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 415-779-6688