Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A68616 | CA |
NPI | 1316981699 |
---|---|
Provider Name | Jeffrey D Traynor |
First Address | Walnut Creek, CA 94598-2961 |
Second Address | Walnut Creek, CA 94598-2961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 01/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A686160 | (05) | CA |