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425 2nd St Ste 307 San Francisco CA 94107-1420 | |
| (415) 480-4569 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 425 2nd St Ste 307, San Francisco, California |
| Authorized Official Name and Position | Veronica Jow (PRESIDENT) |
| Authorized Official Contact | 6172167771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
425 2nd St Ste 307 San Francisco CA 94107-1420 Ph: (415) 480-4569 | 425 2nd St Ste 307 San Francisco CA 94107-1420 Ph: (415) 480-4569 |
| NPI Number | 1780240234 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 12/03/2024 |
| Medicare PECOS PAC ID | 6103156633 |
|---|---|
| Medicare Enrollment ID | O20190926002106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780240234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Veronica M Jow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053597005 PECOS PAC ID: 8426198011 Enrollment ID: I20091211000351 |
| Provider Name | Ginger Cupit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356795876 PECOS PAC ID: 9830468180 Enrollment ID: I20211203000722 |
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