EVAN JAMES LUXENBERG

SAN RAFAEL, CA
NPI1457857609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA  187130)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: WA  MD61278845)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-04
Last Update Date2023-07-27
Business Address
EVAN JAMES LUXENBERG MD
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-2905
Mailing Address
EVAN JAMES LUXENBERG MD
99 MONTECILLO RD. MEDICAL OFFICE BUILDING TWO 1ST FLOOR
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-2905