MEDICARE: JANICE K LOUIE MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	G080472	CA

General Provider Information

NPI Number	:	1194914622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE K LOUIE MD, MPH

Provider Business Mailing Address
First Line	:	2460 22ND STREET
Second Line	:	BUILDING 90, 4TH FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2815
Country	:	US
Telephone Number	:	628-206-8524
Fax Number	:	628-206-4565

Provider Business Practice Location Address
First Line	:	2460 22ND STREET
Second Line	:	BUILDING 90, 4TH FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2815
Country	:	US
Telephone Number	:	916-479-0143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2007
Last Update Date	:	12/27/2021

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