Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A64698 | CA |
N | 111NI0900X | Internist | A64698 | CA |
Y | 207RG0300X | Geriatric Medicine | A64698 | CA |
NPI | 1083656656 |
---|---|
Provider Name | Dr. Rebecca E. Conant |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 30/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A646980 | (05) | CA |
G96342 | (02) | CA |