Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | C38149 | CA |
NPI | 1548345770 |
---|---|
Provider Name | Frederick Timothy Guilford |
First Address | Los Altos, CA 94022 |
Second Address | Los Altos, CA 94022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A36855 | (02) |