Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A43527 | CA |
NPI | 1154409795 |
---|---|
Provider Name | Mario F. Pompili |
First Address | Oakland, CA 94612-3466 |
Second Address | San Francisco, CA 94115-3357 |
Gender | M |
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 |
---|---|---|
00A435270 | (05) | CA |
F82006 | (02) |