Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 20A4861 | CA |
NPI | 1285643759 |
---|---|
Provider Name | Frank Wing Chow |
First Address | Commerce, CA 90040-3104 |
Second Address | Commerce, CA 90040-3104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 08/07/2007 |