Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 5472 | CA |
Y | 208600000X | Surgeon | 5472 | CA |
NPI | 1003445123 |
---|---|
Provider Name | Alan Zambeli-Ljepovic |
First Address | San Francisco, CA 94143-2205 |
Second Address | San Francisco, CA 94143-2205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2020 |
Last Update Date | 22/02/2021 |