Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A11579 | CA |
NPI | 1619119278 |
---|---|
Provider Name | Dr. Christopher David Ake |
First Address | Rancho Dominguez, CA 90220-6214 |
Second Address | Rancho Dominguez, CA 90220-6214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2009 |
Last Update Date | 24/09/2020 |