Individual
MR. TAEMIN SURH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
2900 WHIPPLE AVE, SUITE140, REDWOOD CITY, CA 94062-2843
(650) 261-2366
(650) 261-2369
Mailing address
2900 WHIPPLE AVE, SUITE140, REDWOOD CITY, CA 94062-2843
(650) 261-2366
(650) 261-2369
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA11966
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP2153
RAILROAD MEDICARE
CA
05
—
GR0052800
—
CA
Enumeration date
07/27/2006
Last updated
07/17/2012
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