Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 133293 | CA |
NPI | 1033553375 |
---|---|
Provider Name | Brian Chau |
First Address | Loma Linda, CA 92357 |
Second Address | Loma Linda, CA 92357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 26/07/2019 |