Healthcare Provider Details

I. General information

NPI: 1083743033
Provider Name (Legal Business Name): KATHRYN SEXTON, M.D., MARTIN JOFFE, M.D. & KATRINA URBACH, M.D, MEDIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 04/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S ELISEO DRIVE SUITE 1A
GREENBRAE CA
94904-2133
US

IV. Provider business mailing address

PO BOX 1340
SUISUN CITY CA
94585-4340
US

V. Phone/Fax

Practice location:
  • Phone: 415-461-5436
  • Fax: 415-461-1006
Mailing address:
  • Phone: 415-461-5436
  • Fax: 415-461-1006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA35507
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MARTIN JOFFE
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 415-461-5436