| Resolute Physicians Medical Group Pc | |
|
1650 Jackson St Ste 101 San Francisco CA 94109-3059 | |
| (415) 858-0905 | |
| Not Available |
| Full Name | Resolute Physicians Medical Group Pc |
|---|---|
| Speciality | General Practice |
| Location | 1650 Jackson St Ste 101, San Francisco, California |
| Authorized Official Name and Position | Rockson Liu (PRESIDENT) |
| Authorized Official Contact | 4158580905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolute Physicians Medical Group Pc 1650 Jackson St Ste 101 San Francisco CA 94109-3059 Ph: () - | Resolute Physicians Medical Group Pc 1650 Jackson St Ste 101 San Francisco CA 94109-3059 Ph: (415) 858-0905 |
| NPI Number | 1104577808 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2022 |
| Medicare PECOS PAC ID | 1759762453 |
|---|---|
| Medicare Enrollment ID | O20220712003917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104577808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rupert Roupen Horoupian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184686156 PECOS PAC ID: 6103880844 Enrollment ID: I20041112000962 |
| Provider Name | Rock C Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174601256 PECOS PAC ID: 3072585447 Enrollment ID: I20051004001112 |
| Provider Name | Steven Albert Stanten |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285697698 PECOS PAC ID: 5799819074 Enrollment ID: I20101214000834 |
| Provider Name | Ajay Kumar Upadhyay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104888155 PECOS PAC ID: 0244364529 Enrollment ID: I20110118000545 |
| Provider Name | Michael Sung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225423072 PECOS PAC ID: 0547502023 Enrollment ID: I20200715000168 |
| Provider Name | Masoud Sultan Chopan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659891141 PECOS PAC ID: 6103206958 Enrollment ID: I20220711001323 |
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