Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 22663 | CA |
N | 363LG0600X | Nurse Practitioner - Gerontology | 22663 | CA |
NPI | 1063752772 |
---|---|
Provider Name | Mr. Chen Chi Hau |
First Address | Los Angeles, CA 90051-0185 |
Second Address | Duarte, CA 91010-3012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2013 |
Last Update Date | 30/10/2020 |