Organization · Type 2 NPI
John J. Jolley, M.d. A Professional Corporation
Medical Specialty Clinic/Center · San Rafael, CA
Practice location
750 Las Gallinas Ave Ste 106
San Rafael, CA 94903-3408
Fax (415) 888-2754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | G021951 (CA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Other medical specialty clinic/center providers in San Rafael
About NPI 1053607903
John J. Jolley, M.d. A Professional Corporation's National Provider Identifier is 1053607903, issued on Jun 20, 2011. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in San Rafael, CA. The record was last updated on Apr 16, 2020.