Justin Dorian Grey in San Jose - Addiction Psychiatry

Justin Dorian Grey - NPI 1992898753

Justin Dorian Grey is a Addiction Psychiatry in San Jose, California. Justin Dorian Grey practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for Justin Dorian Grey is 1992898753. The last update date is 2008-03-19.

Justin Dorian Grey's current location address is 2001 The Alameda, San Jose, California. You can contact this provider via phone number 4082617777 and fax number 4085549960. The mailing address for Justin Dorian Grey is 2001 The Alameda, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Justin Dorian Grey
Address 2001 The Alameda, San Jose, California
Phone Number 4082617777
Fax Number 4085549960
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1992898753
Provider Enumeration Date 2006-10-02
Last Updated Date 2008-03-19

Provider Mailing Address Detail

Address 2001 The Alameda
City San Jose
State California (CA)
Post Code 951261136
Phone Number 4082617777
Fax Number 4085549960

Provider's Primary Taxonomy Detail

Speciality Addiction Psychiatry
Taxonomy 2084P0802X
Licence No G65957
Definition:
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G659571 PPIN

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FAQs about Justin Dorian Grey

What is the unique identifier code issued to Justin Dorian Grey by the Centers for Medicare & Medicaid Services (CMS)?

The Justin Dorian Grey has been assigned the NPI (National Provider Identifier) 1992898753. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Justin Dorian Grey is geographically located?

The Justin Dorian Grey is physically situated at the following location: 2001 The Alameda, San Jose, CA, 951261136.

What is Justin Dorian Grey's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Justin Dorian Grey's specialized field of practice is Addiction Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0802X.

On what date did the Centers for Medicare & Medicaid Services assign the 1992898753 to Justin Dorian Grey?

The Centers for Medicare & Medicaid Services assigned the 1992898753 to Justin Dorian Grey on 2006-10-02.

As of what date were the Justin Dorian Grey's details last updated?

The information pertaining to the Justin Dorian Grey, including its address, specialty, and other details, was most recently updated on 2008-03-19.

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