Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | A103044 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | A103044 | CA |
NPI | 1295852358 |
---|---|
Provider Name | Dr. Htun Oo |
First Address | Stockton, CA 95210-3377 |
Second Address | Stockton, CA 95210-3377 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 15/12/2021 |