Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC 016655 | CA |
N | 111NX0100X | Occupational Health | DCC 016655 | CA |
NPI | 1942377551 |
---|---|
Provider Name | Dr. Milton Warren O'brien |
First Address | San Francisco, CA 94110-2320 |
Second Address | San Francisco, CA 94110-2320 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 10/07/2007 |