Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A75046 | CA |
Y | 208600000X | Surgeon | A75046 | CA |
NPI | 1013093533 |
---|---|
Provider Name | Stephanie K. Rowen |
First Address | Oakland, CA 94612-3466 |
Second Address | San Jose, CA 95119-1130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 13/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A750460 | (05) | CA |
I07914 | (02) |