Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A70765 | CA |
NPI | 1013963040 |
---|---|
Provider Name | Dr. Danielle A. Diperna |
First Address | Sacramento, CA 95864-6077 |
Second Address | Sacramento, CA 95816-7097 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 27/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8455230 | (05) | WA |
I52842 | (02) | WA |