Provider Demographics
NPI:1992869895
Name:SAN FRANCISCO INTERNAL MEDICINE ASSOC A MEDICAL GROUP
Entity type:Organization
Organization Name:SAN FRANCISCO INTERNAL MEDICINE ASSOC A MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HARLAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-673-7600
Mailing Address - Street 1:1199 BUSH STREET
Mailing Address - Street 2:SUITE #500
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:415-673-7600
Mailing Address - Fax:415-673-8065
Practice Address - Street 1:1199 BUSH STREET
Practice Address - Street 2:SUITE #500
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:415-673-7600
Practice Address - Fax:415-673-8065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty