NPI | 1265502793 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRANCE T CHANG Physician 916-791-0797 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA G33580) |
Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA G33580) |
208000000X Pediatrics (Licence: CA G33580) | |
2080I0007X Pediatrics, Clinical & Laboratory Immunology (Licence: CA G33580) | |
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA G33580) | |
207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: CA G33580) | |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA G33580) | |
Enumeration Date | 2006-11-09 |
Last Update Date | 2015-11-04 |