Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | G6136 | CA |
Y | 208000000X | Pediatrician | G6136 | CA |
N | 2080P0201X | Pediatric Allergist | G6136 | CA |
NPI | 1497710735 |
---|---|
Provider Name | Dr. Oscar L Frick |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 22/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000G61360 | (05) | CA |
A57442 | (02) | CA |