Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A112193 | CA |
NPI | 1013235605 |
---|---|
Provider Name | Feei Feei Ung |
First Address | Clovis, CA 93611-4028 |
Second Address | Clovis, CA 93611-4028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2010 |
Last Update Date | 30/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A1121930 | (05) | CA |