Provider Demographics
NPI:1235222878
Name:SZE, JANIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANIE
Middle Name:
Last Name:SZE
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 1:1720 EL CAMINO REAL STE 120
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3225
Mailing Address - Country:US
Mailing Address - Phone:650-697-7716
Mailing Address - Fax:650-697-1723
Practice Address - Street 1:1720 EL CAMINO REAL STE 120
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3225
Practice Address - Country:US
Practice Address - Phone:650-697-7716
Practice Address - Fax:650-697-1723
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA61282174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH07221Medicare UPIN