Provider Demographics
NPI:1154959773
Name:BIRGISSON, NATALIA EUGENIA (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:EUGENIA
Last Name:BIRGISSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 THOMPSON AVE APT D
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-2767
Mailing Address - Country:US
Mailing Address - Phone:314-941-7950
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR RM H362
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-2203
Practice Address - Country:US
Practice Address - Phone:314-941-7950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program