Healthcare Provider Details

I. General information

NPI: 1306269154
Provider Name (Legal Business Name): SAN FRANCISCO INSTITUTE FOR HYPERBARIC MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 BERRY ST SUITE 4801
SAN FRANCISCO CA
94107-5705
US

IV. Provider business mailing address

185 BERRY ST SUITE 4801
SAN FRANCISCO CA
94107-5705
US

V. Phone/Fax

Practice location:
  • Phone: 415-513-5813
  • Fax: 415-520-6881
Mailing address:
  • Phone: 415-513-5813
  • Fax: 415-520-6881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: SHAYNE HARMSEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 415-513-5813