Kaeochinda, Tawny Pilai
Kaeochinda, Tawny Pilai is an individual health care provider with primary practice located at 729 Mission St Ste 200, South Pasadena CA 91030-3069. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kaeochinda, Tawny Pilai can be contacted via phone (626) 441-5300.Contact Information
Primary practice address
729 Mission St Ste 200
South Pasadena CA 91030-3069
Phone: (626) 441-5300
Fax: (626) 441-2880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 13521 | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1845 | Arizona |
Profile Details
| NPI number | 1598928715 |
|---|---|
| LBN Legal business name | Kaeochinda, Tawny Pilai |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2008 |
| Last updated | Mar 20th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598928715 | NPPES |
| Other | 12390980 | CAQH | |
| Other | CB221880 | CAQH |
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