Individual
ANDREW TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-4620
Mailing address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A179890
CA
Other
Enumeration date
03/19/2019
Last updated
09/04/2025
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