Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 142792 | CA |
N | 207NS0135X | Procedural Dermatology | 142792 | CA |
NPI | 1003106014 |
---|---|
Provider Name | Sinae Angela Kane |
First Address | San Francisco, CA 94117-3608 |
Second Address | San Francisco, CA 94117-3608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 10/08/2016 |