Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A99120 | CA |
N | 207W00000X | Ophthalmologist | MD434448 | PA |
NPI | 1003028580 |
---|---|
Provider Name | Dr. Alejandra Gabriela De Alba Campomanes |
First Address | San Francisco, CA 94143-2202 |
Second Address | San Francisco, CA 94143-2202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 20/03/2019 |