Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | G43328 | CA |
N | 208000000X | Pediatrician | G43328 | CA |
N | 2080P0201X | Pediatric Allergist | G43328 | CA |
Y | 2080P0216X | Pediatric Rheumatologist | G43328 | CA |
NPI | 1942359310 |
---|---|
Provider Name | Vivian Emily Saper |
First Address | Palo Alto, CA 94306-3723 |
Second Address | Palo Alto, CA 94304-1503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 23/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A49313 | (02) | CA |