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Contact Information

DAVID R JOURGENSEN, MD
384 EMBARCADERO W
OAKLAND, CA94607-3735
 Phone: 615-778-4066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for DAVID R JOURGENSEN · (Male)

NPI # 1073638243
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2007
Last updated 11/01/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G48141
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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