Provider Demographics
NPI:1649236019
Name:SCIARONI, LAURA N (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:N
Last Name:SCIARONI
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 1:1 DANIEL BURNHAM CT
Mailing Address - Street 2:SUITE 365C
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5455
Mailing Address - Country:US
Mailing Address - Phone:415-409-7364
Mailing Address - Fax:415-409-0735
Practice Address - Street 1:1800 SULLIVAN AVE
Practice Address - Street 2:STE 402 THE ORTHOPAEDIC GROUP OF SF INC
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2224
Practice Address - Country:US
Practice Address - Phone:650-992-7700
Practice Address - Fax:650-756-6254
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68521207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA68521OtherCALIFORNIA LICENSE
CAOOA685210Medicaid
NV10232OtherNEVADA LICENSE
CAZZZ6286ZMedicare PIN
CAOOA685210Medicaid
NV10232OtherNEVADA LICENSE