Healthcare Provider Details

I. General information

NPI: 1023205879
Provider Name (Legal Business Name): JARED ANDREW NARVID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 09/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 BRANNAN ST APT.5C
SAN FRANCISCO CA
94107-4030
US

IV. Provider business mailing address

219 BRANNAN ST APT.5C
SAN FRANCISCO CA
94107-4030
US

V. Phone/Fax

Practice location:
  • Phone: 415-236-5281
  • Fax:
Mailing address:
  • Phone: 415-236-5281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number11111111111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: