Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 815646 | CA |
NPI | 1023449527 |
---|---|
Provider Name | Mr. Francisco Jesus Virgen-Giron |
First Address | Burlingame, CA 94010-4004 |
Second Address | Burlingame, CA 94010-4004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2013 |
Last Update Date | 07/07/2015 |