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DR. LIANE RACHEL BACAL M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1518231331
Individual Registrant:DR. LIANE RACHEL BACAL M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4962 EL CAMINO REAL SUITE 103 LOS ALTOS, CA 94022-1454 US
Tel: 650-319-8577 Fax: --
Tel: 650-319-8577 Fax: --
Contact information for business:
4962 EL CAMINO REAL SUITE 103 LOS ALTOS, CA 94022-1454 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1518231331
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | AFE103264 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
