Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A126642 | CA |
N | 111NI0900X | Internist | A126642 | CA |
Y | 207RA0201X | Internist - Allergy & Immunology | A126642 | CA |
NPI | 1205102472 |
---|---|
Provider Name | Anna Juche Chen Arroyo |
First Address | Stanford, CA 94305-2200 |
Second Address | Atherton, CA 94027-3802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2012 |
Last Update Date | 08/07/2019 |