Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A37395 | CA |
N | 207QA0505X | Family Doctor - Adult Medicine | A37395 | CA |
NPI | 1245476852 |
---|---|
Provider Name | Chihchun Kau |
First Address | Diamond Bar, CA 91765-2754 |
Second Address | Diamond Bar, CA 91765-2754 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2009 |
Last Update Date | 02/01/2009 |