KAIHOO TANG


Address: 5507 Dudley Blvd, Mcclellan, CA 95652-1015
Phone: 7078165884

KAIHOO TANG (NPI# 1235368788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235368788
Entity Type Individual
Full Name KAIHOO TANG
Credential PA-C
Practice Address 5507 Dudley Blvd
Mcclellan
CA 95652-1015
Mailing Address 15765 Camino Codorniz
San Diego
CA 92127-5823
Practice Telephone 7078165884
Enumeration Date 2009-07-06
Last Update Date 2016-08-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
19578 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5507 DUDLEY BLVD
City MCCLELLAN
State CA
Zip Code 95652-1015

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548688955 Wenxia Han Registered Nurse 3401 Beech St, Bldg 949, Mcclellan, CA 95652 2014-04-02
1902231897 Marisa Salas Silva Social Worker 3401 Beech Street, Bldg 949, Mcclellan, CA 95652 2013-09-10
1295070290 Stephanie Ann Bost Dietitian, Registered 3401 Beech St., Mcclellan, CA 95652 2012-12-01
1811276025 Brian C Choi Dentist 5401 Arnold Avenue, Bldg. 88, Sacramento, CA 95652 2011-08-05
1154408391 California Shock Trauma Air Rescue Ambulance 4933 Bailey Loop, Mcclellan, CA 95652 2006-11-01
1083704530 Gerald Yang Dentist 5401 Arnold Avenue, Sacramento, CA 95652 2006-10-13
1104910652 Ann Marie Mullen Audiologist 5342 Dudley Blvd., Sacramento, CA 95652 2006-10-02
1831174556 Mark A Duckett Dentist 4101 Arnold Ave, Va /mcclellan Dental Service, Scramento, CA 95652 2005-12-15
1073596581 Jane P Addagatla Internal Medicine Va Mcclellan Opc, 5342 Dudley Blvd,bldg 98, Mcclellan Park, CA 95652 2005-11-29
1528518321 Dana Kirkwood Adkins Social Worker 3401 Beech Street, Building 949, Room #225, Mcclellan, CA 95652 2016-10-05
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1457963944 Harlan William Monahan Physician Assistant 5210 Del Rio Rd, Sacramento, CA 95822-2519 2020-08-18
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Competitor

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City MCCLELLAN
Zip Code 95652

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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