Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A144058 | CA |
NPI | 1003261652 |
---|---|
Provider Name | Casper Hu |
First Address | Arcadia, CA 91007-3402 |
Second Address | Arcadia, CA 91007-3402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2016 |
Last Update Date | 26/12/2019 |