Individual
RACHEL HYUNAH TENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1541 FLORIDA AVE STE 200, MODESTO, CA 95350
(209) 577-3388
Mailing address
1101 AMHERST AVE, MODESTO, CA 95350-4909
(707) 330-1723
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A154014
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841636123
—
OH
Enumeration date
05/14/2013
Last updated
11/06/2018
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