Jaffee, Ian Mathias

Jaffee, Ian Mathias is an individual health care provider with primary practice located at 3700 California St Department Of Pathology, 4Th Floor, San Francisco CA 94118-1618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Jaffee, Ian Mathias can be contacted via phone (559) 455-4000.

Contact Information

Primary practice address
3700 California St Department Of Pathology, 4Th Floor San Francisco CA 94118-1618
Fax: (559) 455-4007
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A93612 California

Profile Details

NPI number 1376603399
LBN Legal business name Jaffee, Ian Mathias
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Apr 26th, 2010 - about 16 years ago

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 1376603399 NPPES
California MEDICAID 00A936120

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