Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G39146 | CA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | G39146 | CA |
NPI | 1487762944 |
---|---|
Provider Name | Richard Byron Chambers |
First Address | Downey, CA 90241-5004 |
Second Address | Downey, CA 90241-5004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2006 |
Last Update Date | 12/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A47716 | (02) |