Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | A90592 | CA |
NPI | 1114903341 |
---|---|
Provider Name | Dr. Catherine K. Buchanan |
First Address | Oakland, CA 94609-3117 |
Second Address | Oakland, CA 94610-4448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2005 |
Last Update Date | 07/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000 | (02) | CA |