Jay I La Bourene, MD - Thoracic Surgery (Cardiothoracic Vascular Surgery) in Tiburon, CA

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Jay I La Bourene, MD is a Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Tiburon, California. Jay I La Bourene is licensed to practice in California (license number G79536) and his current practice location is 1550-g Tiburon Blvd, Tiburon, California. He can be reached at his office (for appointments etc.) via phone at (415) 833-2000.

NPI number for Jay I La Bourene is 1215015847 and his current mailing address is 1550 Tiburon Blvd Ste G, Tiburon, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215015847.

Contact Information

Jay I La Bourene, MD
1550-g Tiburon Blvd,
Tiburon, CA 94920
(415) 833-2000
Not Available

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Physician's Profile

Full NameJay I La Bourene
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location1550-g Tiburon Blvd, Tiburon, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215015847
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 12/04/2018

Medical Identifiers

Medical identifiers for Jay I La Bourene such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215015847NPI-NPPES
1225508385OtherCANPI-TYPE 2
00G795360MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) G79536 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jay I La Bourene is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jay I La Bourene, MD
1550 Tiburon Blvd Ste G,
Tiburon, CA 94920-2531

Ph: (415) 833-2000		Jay I La Bourene, MD
1550-g Tiburon Blvd,
Tiburon, CA 94920

Ph: (415) 833-2000

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Tiburon, CA


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