Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A101676 | CA |
N | 208600000X | Surgeon | A101676 | CA |
Y | 2082S0105X | Plastic Hand Surgeon | A101676 | CA |
NPI | 1689888042 |
---|---|
Provider Name | Katherine Au |
First Address | Philadelphia, PA 19178-7642 |
Second Address | Pasadena, CA 91105-2625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 18/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0A1016760 | (05) | CA |