Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A103130 | CA |
Y | 2080P0202X | Pediatric Cardiologist | A103130 | CA |
NPI | 1013189729 |
---|---|
Provider Name | Sharon Chen |
First Address | San Francisco, CA 94143-0110 |
Second Address | San Francisco, CA 94143-0110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2008 |
Last Update Date | 24/10/2018 |