Individual
DR. ELIZABETH ANNE BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPA
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-1000
Mailing address
2190 GROVE ST APT 2, SAN FRANCISCO, CA 94117-1024
(415) 310-2563
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
100241
CA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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