Individual
IAN CHARLSTON SIM CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
1836 BAROSSA DR, SAN RAMON, CA 94582-4675
(650) 776-9456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A117682
CA
208M00000X
Hospitalist Physician
Primary
A117682
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2010
Last updated
04/28/2024
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