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Judah Joshua Mirvish
Child & Adolescent Psychiatry Physician in San Francisco, California
NPI 1073045381

Judah Joshua Mirvish is a Child & Adolescent Psychiatry Physician based in San Francisco, CA and is specialized in Child & Adolescent Psychiatry. Judah Joshua Mirvish practices in San Francisco, CA. The NPI Number for Judah Joshua Mirvish is 1073045381 and holds a License No. D0086815 (California).

The current practice location address for Judah Joshua Mirvish is 939 Ellis St Fl 5, San Francisco, CA and can be reached out via phone at 415-833-2292 and via fax at 702-529-4030.

Location: 939 Ellis St Fl 5, San Francisco, CA, 94116-1903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073045381
Provider Name
Judah Joshua Mirvish
Credential
Provider Entity Type
Individual
Gender
Male
Address
939 Ellis St Fl 5, San Francisco, CA, 94116-1903
Phone Number
415-833-2292
Fax Number
702-529-4030
Provider Enumeration Date
03/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
939 Ellis St Fl 5
City
San Francisco
State
California
Zip
94109-7714
Phone Number
415-833-2292
Fax Number
702-529-4030
person
Provider Business Mailing Address Details
Address
939 Ellis St Fl 5
City
San Francisco
State
California
Zip
94109-7714
Phone Number
415-833-2292
Fax Number
702-529-4030
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
A178097 (California)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D0086815 (Maryland)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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