Individual
JEFFREY L HALBRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PC
Contact information
Practice address
2100 WEBSTER ST, SUITE 331, SAN FRANCISCO, CA 94115-2373
(415) 923-0944
(415) 923-5896
Mailing address
PO BOX 39000, DEPT# 33373, SAN FRANCISCO, CA 94139-3373
(415) 923-0944
(415) 923-5896
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
G65796
CA
174400000X
Specialist
G65796
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G65796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G657960
BLUE CROSS, BLUE SHIELD
CA
05
—
00G657960
—
CA
01
—
197167000
US DEPT OF LABOR
—
Enumeration date
10/19/2006
Last updated
06/04/2009
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