Organization
JSM SOUTHBAY, PC
Active
Other names
JumpstartMD
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD LAI MD (COO)
(925) 287-8777
Entity
Organization
Contact information
Practice address
14777 LOS GATOS BLVD, SUITE 105, LOS GATOS, CA 95032-2059
(925) 287-8777
Mailing address
595 PRICE AVE, SECOND FLOOR, REDWOOD CITY, CA 94063-1464
(925) 287-8777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A66219
CA
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
A66219
CA
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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