Organization Name: | JEW & JEW MEDICAL ASSOCIATES |
NPI Number: | 1013123694 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY JEW (OWNER) |
Mailing Address: | 919 Clay St San Francisco |
State: | CA US |
Postal Code: | 941081520 |
Phone Number: | 4159824011 |
Fax Number: | 4159826291 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 10/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A-16479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |