institution
John J. Jolley, M.d. A Professional Corporation
Medical Specialty Clinic/Center in San Rafael, California
NPI 1053607903

John J. Jolley, M.d. A Professional Corporation is a Medical Specialty Clinic/Center based in San Rafael, CA and is specialized in Medical Specialty. John J. Jolley, M.d. A Professional Corporation practices in San Rafael, CA. The NPI Number for John J. Jolley, M.d. A Professional Corporation is 1053607903 and holds a License No. G021951 (California).

The current practice location address for John J. Jolley, M.d. A Professional Corporation is 750 Las Gallinas Ave Ste 106, San Rafael, CA and can be reached out via phone at 415-888-2755 and via fax at 415-888-2754.

Location: 750 Las Gallinas Ave Ste 106, San Rafael, CA, 94903-3408
institution
Provider Profile Details
NPI Number
1053607903
Provider Name
John J. Jolley, M.d. A Professional Corporation
Credential
Provider Entity Type
Organization
Address
750 Las Gallinas Ave Ste 106, San Rafael, CA, 94903-3408
Phone Number
415-888-2755
Fax Number
415-888-2754
Provider Enumeration Date
06/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
750 Las Gallinas Ave Ste 106
City
State
Zip
94903-3408
Phone Number
415-888-2755
Fax Number
415-888-2754
person
Provider Business Mailing Address Details
Address
750 Las Gallinas Ave Ste 106
City
State
Zip
94903-3408
Phone Number
415-888-2755
Fax Number
415-888-2754
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
G021951 (California)
Definition
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).
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