Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | SP091 | CA |
NPI | 1427012392 |
---|---|
Provider Name | John S Greenspan |
First Address | Van Nuys, CA 91410-0076 |
Second Address | San Francisco, CA 94143-2205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U83732 | (02) | CA |