Provider Demographics
NPI:1992027593
Name:JEFFREY HALBRECHT M D INC
Entity Type:Organization
Organization Name:JEFFREY HALBRECHT M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-923-0944
Mailing Address - Street 1:3000 CALIFORNIA ST FL 3
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2411
Mailing Address - Country:US
Mailing Address - Phone:415-923-0944
Mailing Address - Fax:415-923-5896
Practice Address - Street 1:3000 CALIFORNIA ST FL 3
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2411
Practice Address - Country:US
Practice Address - Phone:415-923-0944
Practice Address - Fax:415-923-5896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG65796174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G657960Medicaid
CA00G657960Medicaid