Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | G55522 | CA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | G55522 | CA |
NPI | 1912934886 |
---|---|
Provider Name | Abner Paul Korn |
First Address | San Francisco, CA 94120-7464 |
Second Address | San Francisco, CA 94110-3518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 15/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G555220 | (05) | CA |
E50196 | (02) |