Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A139134 | CA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A139134 | CA |
NPI | 1619381779 |
---|---|
Provider Name | Dr. Michelle Yixiao Engle |
First Address | Los Altos, CA 94022-1346 |
Second Address | Los Altos, CA 94022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2014 |
Last Update Date | 02/10/2018 |