Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 891220 | CA |
N | 208600000X | Surgeon | 891220 | CA |
Y | 2086X0206X | Surgical Oncologist | 891220 | CA |
NPI | 1053460873 |
---|---|
Provider Name | Dr. Giovanni Begossi |
First Address | Los Altos, CA 94022-1408 |
Second Address | Oakland, CA 94609-3425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 26/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CA129837 | (02) | CA |