Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | A72051 | CA |
NPI | 1053485748 |
---|---|
Provider Name | Vivian Levy |
First Address | San Mateo, CA 94403-4364 |
Second Address | San Mateo, CA 94403-4364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 13/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A720510 | (05) | CA |
G53863 | (02) | CA |