Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | A69418 | CA |
NPI | 1043397987 |
---|---|
Provider Name | Sindey K. Chung |
First Address | Oakland, CA 94612-3466 |
Second Address | Mountain View, CA 94041-2009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A694180 | (05) | CA |
H36832 | (02) |