Thai, Johnny K

Thai, Johnny K is an sole proprietor health care provider with primary practice located at 3600 Broadway , Oakland CA 94611-5730. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Thai, Johnny K can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
3600 Broadway Oakland CA 94611-5730
Phone: (510) 752-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 79259 California

Profile Details

NPI number 1164069340
LBN Legal business name Thai, Johnny K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2019
Last updated Dec 17th, 2021 - about 4 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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