Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | G18959 | CA |
NPI | 1073871562 |
---|---|
Provider Name | Dr. Sydney E Garfinkle |
First Address | Carmichael, CA 95608-6021 |
Second Address | Fair Oaks, CA 95628-4941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2012 |
Last Update Date | 02/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AG2060616 | DEA (01) | CA |
G18959 | CALILFORNIA LICENSE NUMBER (01) | CA |