Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 33124 | CA |
NPI | 1588056956 |
---|---|
Provider Name | Dr. Karla Mehlenbacher |
First Address | San Francisco, CA 94109-2539 |
Second Address | San Francisco, CA 94109-2539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2015 |
Last Update Date | 23/02/2015 |