Healthcare Provider Details
I. General information
NPI: 1588799274
Provider Name (Legal Business Name): HUGO CHAN MD & NAOMI SHIEH MD A GENERAL PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/22/2007
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1215 PLUMAS ST. STE 1200
YUBA CITY CA
95991
US
IV. Provider business mailing address
1215 PLUMAS ST. STE 1200
YUBA CITY CA
95991
US
V. Phone/Fax
- Phone: 530-671-6148
- Fax: 530-671-6432
- Phone: 530-671-6148
- Fax: 530-671-6432
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | C402250 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A36393 |
| License Number State | CA |
VIII. Authorized Official
Name:
NAOMI
H
SHIEH
Title or Position: OWNER
Credential: MD
Phone: 530-671-6148