Individual
DAVID TAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39233 LIBERTY ST, FREMONT, CA 94538-1501
(510) 795-8186
(510) 792-8186
Mailing address
39270 PASEO PADRE PKWY, SUITE 518, FREMONT, CA 94538-1616
(510) 795-8186
(510) 792-8186
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G63140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G631400
—
CA
Enumeration date
06/02/2006
Last updated
05/18/2011
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