Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | G42041 | CA |
N | 208000000X | Pediatrician | G42041 | CA |
NPI | 1093719437 |
---|---|
Provider Name | Dr. Steven Barry Machtinger |
First Address | San Mateo, CA 94401-3927 |
Second Address | San Mateo, CA 94401-3927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 08/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G420410 | (02) | |
A48790 | (02) |