Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A140911 | CA |
Y | 111NI0900X | Internist | A140911 | CA |
NPI | 1003236795 |
---|---|
Provider Name | Christine Soran |
First Address | San Francisco, CA 94110-3518 |
Second Address | San Francisco, CA 94110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2014 |
Last Update Date | 23/06/2017 |