Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A32405 | CA |
NPI | 1043272206 |
---|---|
Provider Name | Dr. Sung Ha Ryoo |
First Address | Pittsburg, CA 94565-5124 |
Second Address | Pittsburg, CA 94565-5124 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 07/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A324050 | (05) | CA |
A26791 | (02) |