Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G78208 | CA |
NPI | 1356420491 |
---|---|
Provider Name | Paul Belton Meyer |
First Address | Oakland, CA 94612-3429 |
Second Address | Santa Clara, CA 95051-5173 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 31/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G782080 | (05) | CA |