Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 036146817 | IL |
Y | 2086X0206X | Surgical Oncologist | A140751 | CA |
NPI | 1245556406 |
---|---|
Provider Name | Dr. Oliver S. Eng |
First Address | Orange, CA 92868-5903 |
Second Address | Orange, CA 92868-5903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 12/01/2022 |