Individual
TAILUN ZHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 FLETCHER PKWY STE 112, EL CAJON, CA 92020-2520
(800) 898-2020
(844) 897-3788
Mailing address
450 FLETCHER PKWY STE 112, EL CAJON, CA 92020-2520
(800) 898-2020
(626) 577-2100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
26997
WV
207W00000X
Ophthalmology Physician
Primary
C186414
CA
207W00000X
Ophthalmology Physician
MD457911
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2012
Last updated
06/14/2023
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