Basic Information
| Provider Information | |||||||||
| NPI: | 1407065980 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GURROLA | ||||||||
| FirstName: | JOSE | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | II | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3333 CALIFORNIA ST # S1-10 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941181981 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 400 PARNASSUS AVE | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154761000 | ||||||||
| FaxNumber: | 4349249616 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2007 | ||||||||
| LastUpdateDate: | 06/19/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | A147549 | CA | Y | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | R7886 | IA | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | 069817 | GA | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | 0101256465 | VA | N | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.