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NPI Code Detail

MEDICARE: HOWARD H. CHI D.M.D.

MEDICARE: HOWARD H. CHI D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist38047CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
138047OTHERCALICENSE

General Provider Information

NPI Number : 1124109350
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOWARD H. CHI D.M.D.
Provider Business Mailing Address
First Line : 3601 PACIFIC AVE
Second Line :
City : STOCKTON
State : CA
Zip : 95211-0110
Country : US
Telephone Number : 209-946-7404
Fax Number : 209-946-7484
Provider Business Practice Location Address
First Line : 3601 PACIFIC AVE
Second Line :
City : STOCKTON
State : CA
Zip : 95211-0110
Country : US
Telephone Number : 209-946-7404
Fax Number : 209-946-7484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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