Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | C171930 | CA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD420221 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | C171930 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD420221 | PA |
NPI | 1346215449 |
---|---|
Provider Name | Dr. Marc Alan Simon |
First Address | San Francisco, CA 94143 |
Second Address | San Francisco, CA 94143-2156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 14/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101298130 | (05) | PA |
I32012 | (02) | PA |