Healthcare Provider Details

I. General information

NPI: 1952095093
Provider Name (Legal Business Name): NATALIE MELTZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 06/02/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 GATEWAY BLVD STE 100
SOUTH SAN FRANCISCO CA
94080-7408
US

IV. Provider business mailing address

801 GATEWAY BLVD STE 100
SOUTH SAN FRANCISCO CA
94080-7408
US

V. Phone/Fax

Practice location:
  • Phone: 650-421-5263
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: