Individual provider · Type 1 NPI

Gino Michael Dettorre, MD

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

NPI number 1750185898 Active

Practice location

Ucsf Department Of Medicine, 505 Parnassus Ave, M1480
San Francisco, CA 94143

Call (415) 476-1528 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 1750185898

Gino Michael Dettorre, MD's National Provider Identifier is 1750185898, issued on Apr 1, 2025. 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 1, 2025.