Provider Demographics
NPI:1588695159
Name:R.C. DAVID MEDICAL CORPORATION
Entity type:Organization
Organization Name:R.C. DAVID MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMEO
Authorized Official - Middle Name:C
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:650-588-2240
Mailing Address - Street 1:2480 MISSION ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2468
Mailing Address - Country:US
Mailing Address - Phone:415-824-6400
Mailing Address - Fax:415-821-0657
Practice Address - Street 1:2480 MISSION ST
Practice Address - Street 2:SUITE 215
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2468
Practice Address - Country:US
Practice Address - Phone:415-824-6400
Practice Address - Fax:415-821-0657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53612261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care