Provider Demographics
NPI:1154321503
Name:SENIOR, JANINE E (MD)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:E
Last Name:SENIOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 LA CASA VIA STE 300
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3059
Mailing Address - Country:US
Mailing Address - Phone:925-239-0012
Mailing Address - Fax:925-239-0011
Practice Address - Street 1:112 LA CASA VIA STE 300
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3059
Practice Address - Country:US
Practice Address - Phone:925-239-0012
Practice Address - Fax:925-239-0011
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG74576174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist