Individual
DR. ANNA YLVA BLOXHAM HARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2222 BANCROFT WAY, #4300, BERKELEY, CA 94720-4300
(510) 643-7110
(510) 643-2997
Mailing address
2222 BANCROFT WAY, #4300, BERKELEY, CA 94720-4300
(510) 643-7110
(510) 643-2997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A72126
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A721260
—
CA
Enumeration date
06/18/2006
Last updated
07/12/2011
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