Provider Demographics
NPI:1710191820
Name:JENSEN, ELIZABETH R (DO)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:R
Last Name:JENSEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:450 STANYAN ST.
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117
Mailing Address - Country:US
Mailing Address - Phone:415-680-4135
Mailing Address - Fax:415-520-5153
Practice Address - Street 1:450 STANYAN ST.
Practice Address - Street 2:ROOM 503
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117
Practice Address - Country:US
Practice Address - Phone:415-750-5909
Practice Address - Fax:415-750-5910
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2019-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9962208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine