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Contact Information

KENNETH D LAXER, MD
1100 VAN NESS AVE
SAN FRANCISCO, CA94109-6978
 Phone: 415-600-7880
 Fax: 415-369-1373
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for KENNETH D LAXER · (Male)

NPI Number 1861460990
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 05/21/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G28500
  • CA Medicaid 00G285000
Hospital affiliation(s)
  • CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS - (Acute Care)
    3555 CESAR CHAVEZ STREET
    SAN FRANCISCO, CA 94110
  • CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP - (Acute Care)
    601 DUBOCE AVE
    SAN FRANCISCO, CA 94117
  • CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP - (Acute Care)
    2333 BUCHANAN STREET
    SAN FRANCISCO, CA 94115
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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