Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A122744 | CA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A122744 | CA |
NPI | 1124318316 |
---|---|
Provider Name | Brandon Philip Chalfin |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93721-1324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2011 |
Last Update Date | 27/01/2021 |