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Individual

DR. KASIN EKMAHA CHAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1212 S BRISTOL ST, SUITE 16, SANTA ANA, CA 92704-3476
(714) 966-0646
(714) 966-2438
Mailing address
1212 S BRISTOL ST, SUITE 16, SANTA ANA, CA 92704-3476
(714) 966-0646
(714) 966-2438

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A36253
CA
208D00000X
General Practice Physician
A36253
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A362530
CA
Enumeration date
10/04/2006
Last updated
10/15/2010
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