Organization
KHANG DO ANESTHESIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHANG DO CRNA (OWNER)
(209) 956-7725
Entity
Organization
Contact information
Practice address
609 E ORANGEBURG AVE BLDG B, MODESTO, CA 95350-5512
(209) 956-7725
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
02/04/2020
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