# JAN S. JURNECKA, M.D., INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1568763555
- **Authorized official:** DR. JAN JURNECKA (PRESIDENT)
- **Authorized official phone:** (831) 688-4034

## Contact information

- **Practice address:** 405 SKYWARD DR, APTOS, CA 95003-3014
- **Practice address phone:** (831) 688-4034
- **Mailing address:** 405 SKYWARD DR, APTOS, CA 95003-3014
- **Mailing address phone:** (831) 688-4034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | G52392 | CA | Yes |

## Other

- **Enumeration date:** 11/08/2010
- **Last updated:** 11/10/2010