Search › California › 363A00000X
Michael Jorgensen, PA-C
NPI 1457302101 · on the registry since 2006
Practice
- Address
- 450 Broadway St
Pavilion A, 2nd Floor
Redwood City, CA 94063 - Phone
- (818) 621-6612
- Organisation at this address
- Stanford University Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 76
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California