Provider Demographics
NPI:1528166758
Name:FINANCIAL DIST MED ASSOCIATES INC
Entity type:Organization
Organization Name:FINANCIAL DIST MED ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:KALSHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-433-7000
Mailing Address - Street 1:220 MONTGOMERY ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-3560
Mailing Address - Country:US
Mailing Address - Phone:415-433-7000
Mailing Address - Fax:415-434-4509
Practice Address - Street 1:220 MONTGOMERY ST
Practice Address - Street 2:SUITE 420
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104
Practice Address - Country:US
Practice Address - Phone:415-433-7000
Practice Address - Fax:415-434-4509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77829261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center