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Organization

EMERALD SEINMAYA TAY M D A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMERALD TAY M.D (PRESIDENT)
(626) 307-8636
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A72223
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A722230
CA
Enumeration date
02/23/2007
Last updated
06/29/2010
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