Organization
KEVIN KHAI TIEU M D A PROFESSIONAL CORPORATION
Active
Other names
Kevin Khai Tieu, MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN KHAI TUAN TIEU MD (PRESIDENT MD)
(714) 418-9749
Entity
Organization
Contact information
Practice address
16543 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-2343
(714) 418-9749
(714) 418-1047
Mailing address
16543 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-2343
(714) 418-9749
(714) 418-1047
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A77268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A772680
—
CA
Enumeration date
11/09/2006
Last updated
08/30/2024
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