Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 244038 | NY |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A 104270 | CA |
NPI | 1326260977 |
---|---|
Provider Name | Dr. Jen Yuan Chow |
First Address | Arcadia, CA 91007-7606 |
Second Address | Arcadia, CA 91007-7606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 06/10/2008 |