Organization
SUSIE S K KAY M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSIE SAW-SIM KHOO KAY M.D. (PRESIDENT)
(626) 285-0185
Entity
Organization
Contact information
Practice address
1240 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3117
(626) 285-0185
Mailing address
1240 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3117
(626) 285-0185
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A35778
CA
208D00000X
General Practice Physician
A35778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A357780
—
CA
01
—
A35778
LICENSE #
CA
Enumeration date
08/02/2010
Last updated
04/26/2016
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