Individual
AUDREY XI TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
26800 CROWN VALLEY PKWY STE 340, MISSION VIEJO, CA 92691-8021
(949) 889-2020
Mailing address
15333 CULVER DR STE 340F, IRVINE, CA 92604-3078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.060983
IL
207W00000X
Ophthalmology Physician
Primary
20A14322
CA
207WX0120X
Cornea and External Diseases Specialist Physician
20A14322
CA
Other
Enumeration date
07/17/2012
Last updated
09/22/2022
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