Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A87949 | CA |
NPI | 1003853029 |
---|---|
Provider Name | Valerie Vaale Gafori |
First Address | San Diego, CA 92121-2121 |
Second Address | San Diego, CA 92121-2121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 06/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
330627190 | FEDERAL TAX ID (01) | CA |
H97965 | (02) |