Provider Demographics
NPI:1760087522
Name:NAVIAUX, JANE CROWLEY (MD PHD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:CROWLEY
Last Name:NAVIAUX
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11084 VIACHA DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-3425
Mailing Address - Country:US
Mailing Address - Phone:619-933-1408
Mailing Address - Fax:
Practice Address - Street 1:11084 VIACHA DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92124-3425
Practice Address - Country:US
Practice Address - Phone:619-933-1408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG061529207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine