Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35. | OH |
N | 208000000X | Pediatrician | 35.129379 | OH |
Y | 208000000X | Pediatrician | A165551 | CA |
NPI | 1003252800 |
---|---|
Provider Name | Dr. Jean Chia |
First Address | Palo Alto, CA 94304-1503 |
Second Address | Palo Alto, CA 94304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2013 |
Last Update Date | 13/11/2019 |