Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A26516 | CA |
N | 207ND0900X | Dermatopathologist | A26516 | CA |
N | 207NS0135X | Procedural Dermatology | A26516 | CA |
NPI | 1376542340 |
---|---|
Provider Name | Dr. Norman M Price |
First Address | Orinda, CA 94563-1827 |
Second Address | Orinda, CA 94563-1827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 28/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A24870 | (02) |