Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A75537 | CA |
N | 207VG0400X | Gynecologist | A75537 | CA |
NPI | 1144275264 |
---|---|
Provider Name | Dr. Andrea Mendelssohn |
First Address | Albany, CA 94706-0606 |
Second Address | Lafayette, CA 94549-4260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A755370 | (05) | CA |
H53047 | (02) | CA |