Provider Demographics
NPI:1083743033
Name:KATHRYN SEXTON, M.D., MARTIN JOFFE, M.D. & KATRINA URBACH, M.D, MEDIC
Entity Type:Organization
Organization Name:KATHRYN SEXTON, M.D., MARTIN JOFFE, M.D. & KATRINA URBACH, M.D, MEDIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOFFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-461-5436
Mailing Address - Street 1:PO BOX 1340
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-4340
Mailing Address - Country:US
Mailing Address - Phone:415-461-5436
Mailing Address - Fax:415-461-1006
Practice Address - Street 1:1000 S ELISEO DRIVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-2133
Practice Address - Country:US
Practice Address - Phone:415-461-5436
Practice Address - Fax:415-461-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35507208000000X
208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty