MEDICARE: JOHN HERMAN STRAUSS M.D.

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	174400000X	Specialist	G18471	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225148356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN HERMAN STRAUSS M.D.

Provider Business Mailing Address
First Line	:	2918 5TH AVE
Second Line	:	#100
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-5910
Country	:	US
Telephone Number	:	619-260-0134
Fax Number	:	619-260-0119

Provider Business Practice Location Address
First Line	:	2918 5TH AVE
Second Line	:	#100
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-5910
Country	:	US
Telephone Number	:	619-260-0134
Fax Number	:	619-260-0119

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	05/18/2010

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