Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | A86155 | CA |
NPI | 1043368863 |
---|---|
Provider Name | Tempe Kathryn Chen |
First Address | Long Beach, CA 90806-1701 |
Second Address | Long Beach, CA 90806-1701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 29/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A861550 | (05) | CA |
I49099 | (02) |