Doctor Name: | PATRICIA ESTHER REBER |
NPI Number: | 1356555981 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 20A9688 |
Business Practice Address: | 745 Distel Dr Suite 130 Los Altos, CA - 940221532 |
Business Phone Number: | 6504829898 |
Business Fax Number: | 6504461039 |
Mailing Address: | 745 Distel Dr, Suite 130 LOS ALTOS |
State: | CA |
Postal Code: | 940221532 |
Phone Number: | 6504829898 |
Fax Number: | 6504461039 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 10/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A9688 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |