Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC 11658 | CA |
NPI | 1215096151 |
---|---|
Provider Name | Dr. Richard Karl Skala |
First Address | Fremont, CA 94539-5831 |
Second Address | Fremont, CA 94539-5831 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 08/07/2007 |