Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 51148 | CT |
Y | 2086S0120X | Pediatric Surgery | A78090 | CA |
NPI | 1215050653 |
---|---|
Provider Name | Doruk Ozgediz |
First Address | San Francisco, CA 94158-2545 |
Second Address | San Francisco, CA 94158-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 09/09/2020 |