Individual
AEIN KHAM NANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4800
Mailing address
950 RICHMOND ST, EL CERRITO, CA 94530-2919
(510) 922-8295
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
A118027
CA
Other
Enumeration date
09/23/2011
Last updated
12/15/2021
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