Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A156573 | CA |
NPI | 1013437607 |
---|---|
Provider Name | Dr. Nareh Valerie Burgren |
First Address | Los Altos, CA 94022-1408 |
Second Address | Soquel, CA 95073-2000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2017 |
Last Update Date | 08/09/2021 |