Individual
DR. JEFFREY KEN TERAOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR # R105, STANFORD, CA 94305-5336
(650) 723-1410
Mailing address
300 PASTEUR DR # R105, STANFORD, CA 94305-2200
(650) 723-1410
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G058917
CA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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