Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A53994 | CA |
NPI | 1013095652 |
---|---|
Provider Name | Catherine Michele Knox |
First Address | Union City, CA 94587-1507 |
Second Address | Union City, CA 94587-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 13/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A539940 | (05) | CA |
G17468 | (02) |