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Contact Information

HEADQUARTERS MEDICAL GROUP WEST PC
1417 15TH ST
SAN FRANCISCO, CA94103-3623
 Phone: 415-763-5790
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
 

Brain Injury Medicine

2081P0301X 25 Physician/Physical Medicine and Rehabilitation
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Neurology

2084N0400X 13 Physician/Neurology
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for HEADQUARTERS MEDICAL GROUP WEST PC · (Female)

NPI # 1154289833
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2026
Last updated 01/12/2026 - About 5 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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