Provider Demographics
NPI:1801822002
Name:JAHAN, VALERIE KRIEGER (MD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:KRIEGER
Last Name:JAHAN
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 1:1295 E HILLSDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1214
Mailing Address - Country:US
Mailing Address - Phone:650-574-2774
Mailing Address - Fax:650-341-9236
Practice Address - Street 1:1295 E HILLSDALE BLVD
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1214
Practice Address - Country:US
Practice Address - Phone:650-574-2774
Practice Address - Fax:650-341-9236
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG64049208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G640490OtherMEDI-CAL