Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E3393 | CA |
NPI | 1043213523 |
---|---|
Provider Name | Adrienne Cygal Sabin |
First Address | San Jose, CA 95135-1207 |
Second Address | San Jose, CA 95135-1207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 05/01/2021 |