Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | GO81777 | CA |
N | 2086S0102X | Surgical Critical Care | G081777 | CA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | G081777 | CA |
NPI | 1043348378 |
---|---|
Provider Name | Guy R Engelmann |
First Address | San Francisco, CA 94109-4822 |
Second Address | San Francisco, CA 94109-4822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 16/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G081777 | CALIFORNIA LICENSE NUMBER (01) | CA |
G81727 | (02) | CA |