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Individual

TIMOTHY KUANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 SANTA ROSA ST, STE, 201, SAN LUIS OBISPO, CA 93405-5825
(805) 544-7246
(805) 597-8354
Mailing address
PO BOX 4659, SAN LUIS OBISPO, CA 93403-4659
(805) 786-4878
(805) 597-8354

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A72780
CA
208100000X
Physical Medicine & Rehabilitation Physician
A72780
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A72780
CA

Other

Enumeration date
01/05/2006
Last updated
02/08/2024
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