Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ML60092740 | WA |
N | 208600000X | Surgeon | ML60092740 | WA |
Y | 2086S0102X | Surgical Critical Care | A142918 | CA |
NPI | 1023247285 |
---|---|
Provider Name | Rebecca Plevin |
First Address | San Francisco, CA 94110-3518 |
Second Address | San Francisco, CA 94110-3518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 04/03/2019 |