Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | G38981 | CA |
NPI | 1154340289 |
---|---|
Provider Name | Dr. G. James Avery II |
First Address | Los Altos, CA 94022-1408 |
Second Address | San Francisco, CA 94109-6920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 28/05/2020 |