Healthcare Provider Details

I. General information

NPI: 1255410718
Provider Name (Legal Business Name): RICHARD HELMUT ROLFES DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 BUCKINGHAM WAY SUITE 330
SAN FRANCISCO CA
94132-1909
US

IV. Provider business mailing address

595 BUCKINGHAM WAY SUITE 330
SAN FRANCISCO CA
94132-1909
US

V. Phone/Fax

Practice location:
  • Phone: 415-731-6700
  • Fax: 415-759-8637
Mailing address:
  • Phone: 415-731-6700
  • Fax: 415-759-8637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE33030
License Number StateCA

VIII. Authorized Official

Name: MR. RICHARD HELMUT ROLFES
Title or Position: OWNER
Credential: DPM
Phone: 415-731-6700