Provider Demographics
NPI:1750253704
Name:NOHO MEDICAL SERVICES
Entity type:Organization
Organization Name:NOHO MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF SUPPORT
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOELTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-631-9719
Mailing Address - Street 1:PIER 5, STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PIER 5
Practice Address - Street 2:STE 101
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111
Practice Address - Country:US
Practice Address - Phone:262-631-9719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty