Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A75269 | CA |
N | 207R00000X | Internist | A75269 | CA |
N | 111NI0900X | Internist | A75269 | CA |
NPI | 1013935089 |
---|---|
Provider Name | Guy Lubliner |
First Address | Mountain View, CA 94040-6203 |
Second Address | San Francisco, CA 94115-1932 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 03/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A75269 | STATE MEDICAL LICENSE (01) | CA |
H38856 | (02) | CA |