Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A150206 | CA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A150206 | CA |
NPI | 1831519651 |
---|---|
Provider Name | Alexander Sable-Smith |
First Address | San Francisco, CA 94110-5536 |
Second Address | Foster City, CA 94404-1386 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2014 |
Last Update Date | 23/08/2021 |