Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G66672 | CA |
N | 111NI0900X | Internist | G66672 | CA |
N | 207RA0201X | Internist - Allergy & Immunology | G66672 | CA |
NPI | 1275589319 |
---|---|
Provider Name | Dr. Katherine E. Gundling |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G666720 | (05) | CA |
E93433 | (02) | CA |