Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A114650 | CA |
Y | 2080P0216X | Pediatric Rheumatologist | A114650 | CA |
NPI | 1023237351 |
---|---|
Provider Name | Dr. Angel Alberto Herrera Guerra |
First Address | Sacramento, CA 95817 |
Second Address | Sacramento, CA 95817-2207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 05/06/2020 |