Individual
LINDA TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 SAN BERNARDINO RD STE 102, UPLAND, CA 91786-4988
(909) 579-6721
Mailing address
901 SAN BERNARDINO RD STE 102, UPLAND, CA 91786-4988
(909) 579-6721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2016016697
MO
363AS0400X
Surgical Physician Assistant
3820
TN
363AS0400X
Surgical Physician Assistant
Primary
57036
CA
Other
Enumeration date
06/30/2016
Last updated
06/26/2024
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