Grayzar, Jennifer

Grayzar, Jennifer is an individual health care provider with primary practice located at 4000 Civic Center Dr Ste 206 , San Rafael CA 94903-5233. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Grayzar, Jennifer can be contacted via phone (415) 925-8865.

Contact Information

Primary practice address
4000 Civic Center Dr Ste 206 San Rafael CA 94903-5233
Phone: (415) 925-8865
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A65858 California

Profile Details

NPI number 1336160530
LBN Legal business name Grayzar, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Aug 13th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336160530 NPPES
California MEDICAID 00A658580

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