Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G69377 | CA |
N | 207YS0123X | Facial Plastic Surgeon | G69377 | CA |
NPI | 1891800595 |
---|---|
Provider Name | Dr. Albert W Chow |
First Address | Sacramento, CA 95827-2539 |
Second Address | Davis, CA 95616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 28/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G693770 | (05) | CA |
G24289 | (02) |