Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A80443 | CA |
Y | 2080P0216X | Pediatric Rheumatologist | A80443 | CA |
NPI | 1154463032 |
---|---|
Provider Name | Jennifer D Frankovich |
First Address | Palo Alto, CA 94303-3341 |
Second Address | Palo Alto, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 11/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A804430 | (05) | CA |
I31555 | (02) | CA |