MEDICARE: MRS. JENNIFER HELEN DOVICHI MD

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	208000000X	Pediatrics Physician	A66114	CA

General Provider Information

NPI Number	:	1578666186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER HELEN DOVICHI MD

Provider Business Mailing Address
First Line	:	3 ALTARINDA ROAD
Second Line	:	SUITE 300
City	:	ORINDA
State	:	CA
Zip	:	94563
Country	:	US
Telephone Number	:	925-254-9500
Fax Number	:	925-254-9505

Provider Business Practice Location Address
First Line	:	3838 CALIFORNIA ST RM 111
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-1504
Country	:	US
Telephone Number	:	415-387-9293
Fax Number	:	415-885-3738

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	06/20/2025

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