Individual
KAMBRIDGE PIRC HRIBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1363 S ELISEO DR, SUITE A, GREENBRAE, CA 94904-2012
(415) 295-7160
(888) 960-2495
Mailing address
1363 S ELISEO DR, SUITE A, GREENBRAE, CA 94904-2012
(415) 295-7160
(888) 960-2495
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A97429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A97429
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
08/31/2009
Last updated
01/12/2017
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