Individual
DR. JOANNE KRISSY EDQUILANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2351 CLAY ST STE 512, SAN FRANCISCO, CA 94115-1931
(415) 600-1817
(415) 369-1369
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-1817
(415) 369-1369
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A141509
CA
2086X0206X
Surgical Oncology Physician
Primary
A141509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A141509
STATE MEDICAL LICENSE
CA
Enumeration date
04/08/2014
Last updated
02/03/2021
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