Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | G86981 | CA |
Y | 2084N0402X | Child Neurologist | G86981 | CA |
NPI | 1003998618 |
---|---|
Provider Name | Michael Gene Chez |
First Address | Sacramento, CA 95827-2539 |
Second Address | Sacramento, CA 95816-7097 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 26/05/2015 |