| Physician Last Name: | Simon |
| Physician First Name: | Justin |
| Physician Middle Name: | |
| Address: | 3001 Dana Street
Berkeley, California 94705 |
| License Number: | 090917 |
| License Type: | MD |
| Year of Birth: |
1927
|
| Effective Date: | 10/24/2006 |
| Action Description for DOH Webpage: | The physician agreed to never activate his registration to practice medicine in New York State. |
| Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been disciplined by the California State Medical Board for failing to file a report required by law. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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