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Organization
KHAE SAEPHANH, D.O., INC
Active
Organization
KHAE SAEPHANH, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAE VANG SAEPHANH D.O. (DOCTOR)
(408) 274-3200
Entity
Organization
Contact information
Practice address
1569 LEXANN AVE, SUITE 128, SAN JOSE, CA 95121-1793
(408) 274-3200
(408) 274-8021
Mailing address
PO BOX 32611, SAN JOSE, CA 95152-2611
(408) 274-3200
(408) 274-8021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A9049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX90490
—
CA
01
—
20A9049
MEDICAL LICENCE
CA
Enumeration date
12/19/2006
Last updated
03/07/2023
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