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General NPI Number Information
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NPI Number | 1720367352
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Entity Type | Individual
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Provider Name | MICHAEL PAUL BOKOCH M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2011
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 513 PARNASSUS AVE RM S-436, BOX 0427
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2205
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Country | US
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Telephone | 650-387-4314
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 FUNSTON AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-3533
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Country | US
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Telephone | 650-387-4314
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A123771
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License Number State | CA
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