Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | C31515 | CA |
NPI | 1073525564 |
---|---|
Provider Name | Larry Strieff |
First Address | Oakland, CA 94612-1743 |
Second Address | Oakland, CA 94612-1743 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 18/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C315150 | (05) | CA |
A34598 | (02) | CA |