Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A69491 | CA |
NPI | 1174695910 |
---|---|
Provider Name | Pearl Barzaga Scott |
First Address | Oakland, CA 94612-3466 |
Second Address | Sunnyvale, CA 94085-4701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 09/12/2021 |