# JEFFREY S PETERSON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174978688
- **Authorized official:** JEFFREY S PETERSON MD (OWNER)
- **Authorized official phone:** (650) 704-7094

## Contact information

- **Practice address:** 490 POST ST, SUITE 336, SAN FRANCISCO, CA 94102-1401
- **Practice address phone:** (415) 578-5590
- **Practice address fax:** (415) 578-5599
- **Mailing address:** 490 POST ST, SUITE 336, SAN FRANCISCO, CA 94102-1401
- **Mailing address phone:** (415) 578-5590
- **Mailing address fax:** (415) 578-5599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083S0010X | Sports Medicine (Preventive Medicine) Physician | A65906 | CA | — |
| 261QU0200X | Urgent Care Clinic/Center | A65906 | CA | Yes |

## Other

- **Enumeration date:** 05/03/2016
- **Last updated:** 05/03/2016