Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A106104 | CA |
Y | 2080P0210X | Pediatric Nephrologist | MD189913 | OR |
NPI | 1730347105 |
---|---|
Provider Name | Gia J. Oh |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 12/09/2019 |