Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | A109798 | CA |
NPI | 1205084910 |
---|---|
Provider Name | Biljinder Chima |
First Address | Stockton, CA 95201-3120 |
Second Address | Rocklin, CA 95677-3093 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2008 |
Last Update Date | 01/05/2018 |