Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A143239 | CA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 269867 | NY |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A143239 | CA |
NPI | 1093724635 |
---|---|
Provider Name | Calvin T Hu |
First Address | Chico, CA 95928-8347 |
Second Address | Chico, CA 95928-8347 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 30/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03716694 | (05) | NY |
A143239 | STATE MEDICAL LICENSE (01) | CA |