Terdiman, Jonathan P.

Terdiman, Jonathan P. is an individual health care provider with primary practice located at 1701 Divisadero St, Suite 120 , San Francisco CA 94115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Terdiman, Jonathan P. can be contacted via phone (415) 502-4444.

Contact Information

Primary practice address
1701 Divisadero St, Suite 120 San Francisco CA 94115
Phone: (415) 502-4444
Fax: (415) 502-2249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G70554 California
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G70554 California

Profile Details

NPI number 1821040320
LBN Legal business name Terdiman, Jonathan P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821040320 NPPES
California MEDICAID 00G705540

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