Tai, Kuangkai

Tai, Kuangkai is an individual health care provider with primary practice located at 15525 Pomerado Road Suite B-1, Poway CA 92064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tai, Kuangkai can be contacted via phone (858) 487-8333.

Contact Information

Primary practice address
15525 Pomerado Road Suite B-1 Poway CA 92064
Phone: (858) 487-8333
Fax: (858) 487-0856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A068063 California

Profile Details

NPI number 1396744066
LBN Legal business name Tai, Kuangkai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated May 4th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396744066 NPPES
California MEDICAID 1396744066

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