Healthcare Provider Details

I. General information

NPI: 1184056376
Provider Name (Legal Business Name): FELIX ANTONIO CRESPIN CPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 07/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVENUE -SAN FRANCISCO GENERAL HOSPITAL WARD 94, BUILDING 90 - 4TH FLOOR
SAN FRANCISCO CA
94110
US

IV. Provider business mailing address

1001 POTRERO AVENUE -SAN FRANCISCO GENERAL HOSPITAL WARD 94, BUILDING 90 - 4TH FLOOR
SAN FRANCISCO CA
94110
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-3385
  • Fax: 415-206-4565
Mailing address:
  • Phone: 415-206-3385
  • Fax: 415-206-4565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberCPT00022878
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: