Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | C36527 | CA |
NPI | 1043247505 |
---|---|
Provider Name | Pierre G. Rivet |
First Address | San Diego, CA 92103-2117 |
Second Address | San Diego, CA 92103-2117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C365270 | (05) | CA |
A36293 | (02) |