Healthcare Provider Details

I. General information

NPI: 1780602813
Provider Name (Legal Business Name): DEBORAH ANN METZGER PHD, MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 FREMONT AVE STE 104
LOS ALTOS CA
94024-5602
US

IV. Provider business mailing address

851 FREMONT AVE STE 104
LOS ALTOS CA
94024-5602
US

V. Phone/Fax

Practice location:
  • Phone: 650-229-1010
  • Fax: 650-229-1011
Mailing address:
  • Phone: 650-229-1010
  • Fax: 650-229-1011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberC50171
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberC50171
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: