Healthcare Provider Details

I. General information

NPI: 1720126790
Provider Name (Legal Business Name): KAREN HOKHMAH JOYALLEN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 7TH AVE
SAN FRANCISCO CA
94118-3806
US

IV. Provider business mailing address

665 7TH AVENUE
SAN FRANCISCO CA
94118
US

V. Phone/Fax

Practice location:
  • Phone: 415-999-2663
  • Fax: 415-642-6233
Mailing address:
  • Phone: 415-999-2663
  • Fax: 415-642-6233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5731
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNMW907
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: