Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 20A10937 | CA |
NPI | 1205001559 |
---|---|
Provider Name | Dr. Albert Chientu Mu |
First Address | Fresno, CA 93720-0359 |
Second Address | Fresno, CA 93720-0359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 21/11/2016 |