Individual
ALBERT PISANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2490 HOSPITAL DRIVE, SUITE 102, MOUNTAIN VIEW, CA 94040-4124
(650) 934-7520
Mailing address
2350 W EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207V00000X
Obstetrics & Gynecology Physician
G67056
CA
207VX0201X
Gynecologic Oncology Physician
Primary
G67056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G067056
STATE LICENSE
—
01
—
W18764
MEDICARE GROUP
CA
Enumeration date
12/08/2006
Last updated
01/08/2015
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