Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | A87509 | CA |
NPI | 1124100110 |
---|---|
Provider Name | Vanessa Litman |
First Address | Oakland, CA 94623 |
Second Address | Oakland, CA 94601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 15/01/2013 |