MEDICARE: DR. JAMES EDWARDS DELANO JR. 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	2084P0800X	Psychiatry Physician	G30580	CA

General Provider Information

NPI Number	:	1285735472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES EDWARDS DELANO JR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1029
Second Line	:
City	:	SAUSALITO
State	:	CA
Zip	:	94966-1029
Country	:	US
Telephone Number	:	435-332-6939
Fax Number	:	415-332-6672

Provider Business Practice Location Address
First Line	:	220 MONTGOMERY ST
Second Line	:	SUITE 1800
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-3402
Country	:	US
Telephone Number	:	415-362-7241
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/09/2007

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