Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | PA56327 | CA |
NPI | 1043781339 |
---|---|
Provider Name | Chelsea Woo |
First Address | San Francisco, CA 94121-0142 |
Second Address | Irvine, CA 92618-3786 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2018 |
Last Update Date | 11/12/2018 |