Individual provider · Type 1 NPI

Shanshan Elissa Gustafson

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1417537259 Active

Practice location

2425 Geary Blvd
San Francisco, CA 94115-3358

Call (415) 833-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XD0097815 (MD)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417537259

Shanshan Elissa Gustafson's National Provider Identifier is 1417537259, issued on Apr 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Apr 7, 2025.