Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | G68391 | CA |
NPI | 1558365320 |
---|---|
Provider Name | Dr. Howard K. Nam |
First Address | Sacramento, CA 95827-2539 |
Second Address | Yuba City, CA 95991-5005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 08/05/2015 |