Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A124157 | CA |
Y | 2080P0208X | Pediatric Infectious Diseases | A124157 | CA |
NPI | 1013203157 |
---|---|
Provider Name | Dr. Elizabeth Partridge |
First Address | Oakland, CA 94609-1809 |
Second Address | Sacramento, CA 95817-2208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2011 |
Last Update Date | 15/06/2020 |