Individual
KEA JA PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11160 WARNER AVE, # 107, FOUNTAIN VALLEY, CA 92708
(714) 966-5205
(914) 966-5205
Mailing address
11160 WARNER AVE, # 107, FOUNTAIN VALLEY, CA 92708
(714) 966-5205
(914) 966-5205
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C40734
CA
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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