Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A137542 | CA |
NPI | 1003235318 |
---|---|
Provider Name | Kevin Wei-Han Chi |
First Address | Castro Valley, CA 94546-3234 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 30/06/2017 |