Organization
GENE KYO OH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE KYO OH MD (PRESIDENT)
(714) 998-8133
Entity
Organization
Contact information
Practice address
12900A GARDEN GROVE BLVD, #122, GARDEN GROVE, CA 92843
(714) 636-0342
(714) 636-0391
Mailing address
PO BOX 775, GARDEN GROVE, CA 92842
(714) 636-0342
(714) 636-0391
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A26489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A264891
—
CA
Enumeration date
05/12/2006
Last updated
12/13/2007
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