Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G2971 | CA |
N | 111NI0900X | Internist | G2971 | CA |
Y | 207U00000X | Nuclear Medicine Specialist | G2971 | CA |
NPI | 1487903084 |
---|---|
Provider Name | Jerold Marvin Lowenstein |
First Address | San Francisco, CA 94115 |
Second Address | San Francisco, CA 94115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2012 |
Last Update Date | 29/08/2012 |