Healthcare Provider Details

I. General information

NPI: 1689002420
Provider Name (Legal Business Name): JOHANNA CORIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2013
Last Update Date: 10/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 VALENCIA
SAN FRANCISCO CA
94103
US

IV. Provider business mailing address

333 VALENCIA ST
SAN FRANCISCO CA
94103-3547
US

V. Phone/Fax

Practice location:
  • Phone: 415-503-1046
  • Fax:
Mailing address:
  • Phone: 415-503-1046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1103X
TaxonomyResearch Study Abstracter/Coder
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: