Search › California › 207L00000X

Justin Libaw

NPI 1932594165 · on the registry since 2015 · sole proprietor

Practice

Address
513 Parnassus Ave # S436
San Francisco, CA 94143
Phone
(415) 514-3781
Clinicians at this address
19

Registry record

Primary taxonomy
207L00000X
207L00000X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-03

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