Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | G41623 | CA |
N | 2080P0208X | Pediatric Infectious Diseases | G41623 | CA |
NPI | 1669570271 |
---|---|
Provider Name | Dr. Jay H. Tureen |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 18/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G416230 | (05) | CA |
F25341 | (02) | CA |