# JAY LABOURENE

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

## Provider details

- **NPI number:** 1225508385
- **Authorized official:** JAY LABOURENE MD (OWNER)
- **Authorized official phone:** (415) 872-0344

## Contact information

- **Practice address:** 1550 G TIBURON BLVD, TIBURON, CA 94920-2531
- **Practice address phone:** (415) 872-0344
- **Mailing address:** 1550 TIBURON BLVD STE G, TIBURON, CA 94920-2531
- **Mailing address phone:** (415) 872-0344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2018
- **Last updated:** 12/03/2018