Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | A95375 | CA |
NPI | 1518980283 |
---|---|
Provider Name | Chau Y. Tai |
First Address | Moraga, CA 94570-6753 |
Second Address | Oakland, CA 94609-1810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 29/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A95375 | MEDICAL LICENSE (01) | CA |
BT6588327 | DEA (01) | CA |