Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | A060989 | CA |
N | 207RP1001X | Pulmonary Disease | A060989 | CA |
NPI | 1073589248 |
---|---|
Provider Name | Dr. Chan-Chou Chuang |
First Address | Rancho Palos Verdes, CA 90275-4511 |
Second Address | Torrance, CA 90505-5002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G98671 | (02) |