Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | A82242 | CA |
Y | 207R00000X | Internist | A82242 | CA |
Y | 111NI0900X | Internist | A82242 | CA |
NPI | 1407898323 |
---|---|
Provider Name | Dr. Patty Peng-Jung Chi |
First Address | Fremont, CA 94538-1422 |
Second Address | San Mateo, CA 94401-3819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 25/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A822420 | (05) | CA |