Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | A52520 | CA |
NPI | 1225117971 |
---|---|
Provider Name | Dr. Leonard K. Chen |
First Address | Oakland, CA 94612-3429 |
Second Address | Santa Clara, CA 95051-5173 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 29/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G18204 | (02) |