Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A156316 | CA |
N | 208000000X | Pediatrician | PGY.203077 | LA |
Y | 2080A0000X | Adolescent Medicine | A156316 | CA |
NPI | 1265816243 |
---|---|
Provider Name | Brandii Criss |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2015 |
Last Update Date | 02/08/2021 |