Provider Demographics
NPI:1447419957
Name:ANUNCIACION, DULCE SUMPO (MD)
Entity Type:Individual
Prefix:
First Name:DULCE
Middle Name:SUMPO
Last Name:ANUNCIACION
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:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94016-0066
Mailing Address - Country:US
Mailing Address - Phone:916-276-5042
Mailing Address - Fax:
Practice Address - Street 1:2175 N CALIFORNIA BLVD
Practice Address - Street 2:SUITE 425
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3579
Practice Address - Country:US
Practice Address - Phone:925-543-0140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104623207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology