Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | C41906 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | C41906 | CA |
NPI | 1427095090 |
---|---|
Provider Name | Dr. Marcelle I. Cedars |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94115-3006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 08/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C419060 | (05) | CA |
B50758 | (02) | CA |