Provider Demographics
NPI:1235310822
Name:BORNSTEIN, JOANNA MEPSTEIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:MEPSTEIN
Last Name:BORNSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:245 11TH STREET
Mailing Address - Street 2:WESTSIDE COMMUNITY SERVICES
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103
Mailing Address - Country:US
Mailing Address - Phone:415-355-0311
Mailing Address - Fax:415-355-0309
Practice Address - Street 1:245 11TH ST
Practice Address - Street 2:WESTSIDE COMMUNITY SERVICES
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-3732
Practice Address - Country:US
Practice Address - Phone:415-355-0311
Practice Address - Fax:415-355-0309
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-24
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1010292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry