MEDICARE: JANA KLEIN MS

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	170300000X	Genetic Counselor (M.S.)	ABMG 1990	CA

General Provider Information

NPI Number	:	1619184140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANA KLEIN MS

Provider Business Mailing Address
First Line	:	51 YERBA BUENA AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94127-1543
Country	:	US
Telephone Number	:	415-661-1168
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 YERBA BUENA AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94127-1543
Country	:	US
Telephone Number	:	415-661-1168
Fax Number	:

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/08/2007

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