Individual
CHANH DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 571-5880
Mailing address
47 WAWONA ST, SAN FRANCISCO, CA 94127-1118
(708) 466-6100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036065498
IL
207P00000X
Emergency Medicine Physician
Primary
20A9226
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065498
—
IL
01
—
098419
HEALTH ALLIANCE - KCH
IL
01
—
100467
HEALTH ALLIANCE - VWCH
IL
Enumeration date
01/23/2007
Last updated
01/04/2022
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