Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | A62776 | CA |
NPI | 1487732012 |
---|---|
Provider Name | Louise C. Greenspan |
First Address | Oakland, CA 94612-3466 |
Second Address | San Francisco, CA 94115-3357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 13/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A627760 | (05) | CA |
G85566 | (02) |