Basic Information
| Provider Information | |||||||||
| NPI: | 1922286418 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JUANLU | ||||||||
| FirstName: | JEFFREY | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 86 PATERSON PL | ||||||||
| Address2: | |||||||||
| City: | SANTA CLARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950506759 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4086455547 | ||||||||
| FaxNumber: | 9258207996 | ||||||||
| Practice Location | |||||||||
| Address1: | 355 DARDANELLI LN | ||||||||
| Address2: | |||||||||
| City: | LOS GATOS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950321438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4088664036 | ||||||||
| FaxNumber: | 4088717491 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2008 | ||||||||
| LastUpdateDate: | 11/14/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 20A9758 | CA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.