Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | G50382 | CA |
NPI | 1013957851 |
---|---|
Provider Name | Alvin K Eng |
First Address | Modesto, CA 95350-4430 |
Second Address | Modesto, CA 95350-4430 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A51662 | (02) | |
ZZZ76734Z | (05) | CA |