Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | A106890 | CA |
N | 208200000X | Surgeon | A106890 | CA |
N | 208600000X | Surgeon | A106890 | CA |
Y | 2082S0105X | Plastic Hand Surgeon | A106890 | CA |
NPI | 1194966416 |
---|---|
Provider Name | Dr. Patrick O'connor Lang |
First Address | San Francisco, CA 94109-4586 |
Second Address | San Francisco, CA 94109-4586 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2009 |
Last Update Date | 22/05/2014 |