Gean-Gersch, Alisa Diane
Gean-Gersch, Alisa Diane is an individual health care provider with primary practice located at 1001 Potrero Ave Rm 1X55, San Francisco CA 94110-3518. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Gean-Gersch, Alisa Diane can be contacted via phone (415) 206-5871.Contact Information
Primary practice address
1001 Potrero Ave Rm 1X55
San Francisco CA 94110-3518
Phone: (415) 206-5871
Fax: (415) 206-4004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | G66034 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G66034 | California |
Profile Details
| NPI number | 1942246343 |
|---|---|
| LBN Legal business name | Gean-Gersch, Alisa Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 21st, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942246343 | NPPES |
| California | MEDICAID | 00G660340 |
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