Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 210486 | MA |
NPI | 1295781771 |
---|---|
Provider Name | Ilin Chuang |
First Address | Monterey Park, CA 91754-2424 |
Second Address | Phoenix, AZ 85007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 08/07/2007 |