Individual
DR. EUGENE DE JUAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2800
(415) 514-1488
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G86176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G861760
—
CA
Enumeration date
05/17/2006
Last updated
04/22/2008
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