MEDICARE: DR. AVIVA FLIKER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	A180643	CA

General Provider Information

NPI Number	:	1609501733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AVIVA FLIKER MD

Provider Business Mailing Address
First Line	:	151 BURNSIDE AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94131-3223
Country	:	US
Telephone Number	:	294-890-8212
Fax Number	:

Provider Business Practice Location Address
First Line	:	2330 POST ST STE 500
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3495
Country	:	US
Telephone Number	:	415-885-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2022
Last Update Date	:	07/21/2022

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