Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A80619 | CA |
NPI | 1053341784 |
---|---|
Provider Name | Dr. Chainarong Limvarapuss |
First Address | Vallejo, CA 94589-2580 |
Second Address | Vallejo, CA 94589-2578 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 04/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9023736 | (05) | CA |
G19694 | (02) |