Individual
DR. JEANNE M. LABERGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-1300
(415) 353-8570
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G46193
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G46193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G461930
—
CA
Enumeration date
06/14/2006
Last updated
09/11/2025
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