Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | A99537 | CA |
NPI | 1063615185 |
---|---|
Provider Name | Dr. Lejla Delic |
First Address | Los Altos, CA 94022-1408 |
Second Address | San Francisco, CA 94109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 29/05/2020 |