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Individual

KAIHOO TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5507 DUDLEY BLVD, MCCLELLAN, CA 95652-1015
(707) 816-5884
Mailing address
15765 CAMINO CODORNIZ, SAN DIEGO, CA 92127-5823

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
19578
CA

Other

Enumeration date
07/06/2009
Last updated
08/29/2016
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