Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | C50346 | CA |
NPI | 1013956978 |
---|---|
Provider Name | Dr. Alla Sragets |
First Address | San Mateo, CA 94401-3819 |
Second Address | San Mateo, CA 94401-3819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |