Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | G59475 | CA |
N | 207VX0000X | Obstetrician | G59475 | CA |
NPI | 1447327572 |
---|---|
Provider Name | Elizabeth G. Moy |
First Address | San Francisco, CA 94118-1522 |
Second Address | San Francisco, CA 94118-1522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E89829 | (02) | CA |