Provider Demographics
NPI:1699129395
Name:VALETTE, JEAN PIERRE (MD)
Entity type:Individual
Prefix:
First Name:JEAN PIERRE
Middle Name:
Last Name:VALETTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 VAN NESS AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3040
Mailing Address - Country:US
Mailing Address - Phone:415-763-6454
Mailing Address - Fax:415-639-0160
Practice Address - Street 1:2001 VAN NESS AVE STE 402
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3040
Practice Address - Country:US
Practice Address - Phone:415-763-6454
Practice Address - Fax:415-639-0160
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA152473207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program