Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 37796 | CA |
NPI | 1548383425 |
---|---|
Provider Name | Dr. Jose F Chay |
First Address | Tustin, CA 92780-6317 |
Second Address | Orange, CA 92868-3305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2007 |
Last Update Date | 08/07/2007 |