Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A66037 | CA |
Y | 111NI0900X | Internist | A66037 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | A66037 | CA |
NPI | 1255342929 |
---|---|
Provider Name | Anca Maria Petrascu |
First Address | Visalia, CA 93277-9476 |
Second Address | Visalia, CA 93277-9476 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 20/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A660370 | (05) | CA |
G92807 | (02) | CA |