Healthcare Provider Details

I. General information

NPI: 1053633149
Provider Name (Legal Business Name): TOMAS JAVIER ARAGON M.D., DR.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2010
Last Update Date: 12/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 GROVE ST ROOM 308
SAN FRANCISCO CA
94102-4505
US

IV. Provider business mailing address

101 GROVE ST ROOM 308
SAN FRANCISCO CA
94102-4505
US

V. Phone/Fax

Practice location:
  • Phone: 415-787-2583
  • Fax:
Mailing address:
  • Phone: 415-787-2583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberG68687
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: