Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | G77010 | CA |
NPI | 1174558662 |
---|---|
Provider Name | Dr. Rosa Lisa Dell'oca |
First Address | Mountain View, CA 94040 |
Second Address | Mountain View, CA 94040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 14/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
HO9600 | (02) | CA |