Organization
H. MICHAEL JAFFIN, M. D., INC
Active
Other names
H. Michael Jaffin, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVONA R. LAUDENSLAYER (OFFICE MANAGER)
(925) 706-7788
Entity
Organization
Contact information
Practice address
3720 SUNSET LANE, SUITE #A, ANTIOCH, CA 94509-6124
(925) 706-7788
(925) 706-7988
Mailing address
3720 SUNSET LANE, SUITE #A, ANTIOCH, CA 94509-6124
(925) 706-7788
(925) 706-7988
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G30854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G308540
MEDICARE ID
CA
Enumeration date
10/12/2006
Last updated
02/13/2009
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