Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A62427 | CA |
NPI | 1003860248 |
---|---|
Provider Name | Robert Henry Meints |
First Address | Orange, CA 92856-0809 |
Second Address | Burlingame, CA 94010-3205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 05/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A624270 | (05) | CA |
G98675 | (02) |