Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A52603 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A52603 | CA |
NPI | 1093863938 |
---|---|
Provider Name | Cheryl A. Albuquerque |
First Address | Los Altos, CA 94022-1408 |
Second Address | San Jose, CA 95128-2604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 19/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G59493 | (02) |