MEDICARE: CATHERINE A. EGLI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	G43183	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G43183	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1669577557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE A. EGLI MD

Provider Business Mailing Address
First Line	:	1804 EMBARCADERO RD
Second Line	:	STE 100
City	:	PALO ALTO
State	:	CA
Zip	:	94303-3341
Country	:	US
Telephone Number	:	650-497-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1804 EMBARCADERO RD
Second Line	:	STE 100
City	:	PALO ALTO
State	:	CA
Zip	:	94303-3341
Country	:	US
Telephone Number	:	650-497-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	12/09/2016

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