Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A134555 | CA |
NPI | 1023371515 |
---|---|
Provider Name | Wanxing Chai-Ho |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90024-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 20/07/2018 |