Individual
KHANG DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 416-6316
Mailing address
3304 YERINGTON CT, MODESTO, CA 95355-7848
(209) 416-6316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
95000269
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11000569
FL
Other
Enumeration date
02/05/2015
Last updated
01/23/2019
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