Individual provider · Type 1 NPI

Ian Chen Boothby, MD, PhD

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

NPI number 1609635796 Active

Practice location

1701 Divisadero St Fl 3
San Francisco, CA 94115-3011

Call (415) 600-3954 Map

Specialties and licenses

TaxonomyCodeLicense
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 1609635796

Ian Chen Boothby, MD, PhD's National Provider Identifier is 1609635796, issued on Mar 19, 2024. 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 Jun 2, 2026.