Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 450007 | CA |
NPI | 1043771678 |
---|---|
Provider Name | Linda Sara Blum |
First Address | San Francisco, CA 94120-7999 |
Second Address | San Francisco, CA 94115-1931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2019 |
Last Update Date | 27/03/2019 |