# JON W CHURNIN MD INC

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

## Provider details

- **NPI number:** 1619011095
- **Authorized official:** DR. JON W CHURNIN MD (OWNER)
- **Authorized official phone:** (650) 343-9746

## Contact information

- **Practice address:** 901 CAMPUS DR STE 102, DALY CITY, CA 94015-4930
- **Practice address phone:** (650) 991-2000
- **Mailing address:** 219 ELM ST APT 5, SAN MATEO, CA 94401-2640
- **Mailing address phone:** (650) 343-9746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G34291 | CA | Yes |

## Other

- **Enumeration date:** 02/18/2007
- **Last updated:** 07/17/2014