Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | C38617 | CA |
NPI | 1285692640 |
---|---|
Provider Name | Dr. Jeffrey Alan Saal |
First Address | Redwood City, CA 94063 |
Second Address | Redwood City, CA 94063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A36965 | (02) |