ERNEST A DERNBURG MEDICAL CORPORATION
Psychiatric at Bush St, San Francisco, CA

License number
California A19811
Category
Psychiatric
Type
Child & Adolescent Psychiatry
Owner
Name: ERNEST A DERNBURG MD
Title: PRESIDENT
Phone: (415) 567-5885
Address
Address
2456 Bush St, San Francisco, CA 94115
National Provider ID: 1477605517
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Ernest Dernburg

Los Angeles, CA  -  San Francisco, CA

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Ernest A Dernburg Medical Corporation
Registration:
Jul 1, 1969
Addresses:
10380 Glenbarr Ave, Los Angeles, CA 90064
2456 Bush St, San Francisco, CA 94115
155 Montgomery St, San Francisco, CA 94104
State ID:
00573940
Business type:
Articles of Incorporation
Presidents:
Ernest A. Dernburg Medical Doctor, President, Psychiatry, inactive,Philip W. Walling Owner, inactive,Renee S. Dernburg President, inactive

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