Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | A033016 | CA |
NPI | 1336284355 |
---|---|
Provider Name | Dr. Usha Chopra |
First Address | Calabasas, CA 91302-1776 |
Second Address | Lynwood, CA 90262-3625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 08/07/2007 |