Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 61213 | CA |
NPI | 1619289600 |
---|---|
Provider Name | Dr. Jana Sabo |
First Address | San Francisco, CA 94110-3027 |
Second Address | San Francisco, CA 94110-3027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2010 |
Last Update Date | 04/03/2021 |