Individual
MR. TRAVIS SEUNG OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11841 SOUTH ST, CERRITOS, CA 90703-6825
(562) 809-8082
Mailing address
1275 S CABERNET CIR, ANAHEIM, CA 92804-4741
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
22636
CA
Other
Enumeration date
01/08/2013
Last updated
02/26/2013
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