Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G78134 | CA |
N | 111NI0900X | Internist | G78134 | CA |
N | 207RG0300X | Geriatric Medicine | G78134 | CA |
NPI | 1063554012 |
---|---|
Provider Name | Dr. Peter Pompei |
First Address | Stanford, CA 94305-5303 |
Second Address | Stanford, CA 94305-5303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G781340 | (05) | CA |
A62693 | (02) | CA |