Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A170574 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD60731127 | WA |
NPI | 1265708929 |
---|---|
Provider Name | Dr. David Gendelberg |
First Address | San Francisco, CA 94110 |
Second Address | San Francisco, CA 94110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2012 |
Last Update Date | 03/08/2021 |