Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A146027 | CA |
NPI | 1013301969 |
---|---|
Provider Name | Doris Chen |
First Address | San Francisco, CA 94143 |
Second Address | Sacramento, CA 95817-1460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2015 |
Last Update Date | 03/06/2019 |