Individual
DR. JUSTIN LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2919
(415) 444-2328
Mailing address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2919
(415) 444-2328
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A152841
CA
Other
Enumeration date
05/03/2016
Last updated
08/30/2022
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