# JSM SOUTHBAY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JumpstartMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780953042
- **Authorized official:** CONRAD LAI MD (COO)
- **Authorized official phone:** (925) 287-8777

## Contact information

- **Practice address:** 14777 LOS GATOS BLVD, SUITE 105, LOS GATOS, CA 95032-2059
- **Practice address phone:** (925) 287-8777
- **Mailing address:** 595 PRICE AVE, SECOND FLOOR, REDWOOD CITY, CA 94063-1464
- **Mailing address phone:** (925) 287-8777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | A66219 | CA | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | A66219 | CA | Yes |

## Other

- **Enumeration date:** 12/15/2011
- **Last updated:** 12/15/2011