# EMERALD SEINMAYA TAY M D A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023143344
- **Authorized official:** EMERALD TAY M.D (PRESIDENT)
- **Authorized official phone:** (626) 307-8636

## Contact information

- **Practice address:** 222 E VALLEY BLVD, SAN GABRIEL, CA 91776-3596
- **Practice address phone:** (626) 307-8636
- **Practice address fax:** (626) 307-8705
- **Mailing address:** 222 E VALLEY BLVD, SAN GABRIEL, CA 91776-3596
- **Mailing address phone:** (626) 307-8636
- **Mailing address fax:** (626) 307-8705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A72223 | CA | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 06/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A722230 | — | CA |