MEDICARE: DR. ALFRED BENG-CHYE TAY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	A25394	CA

General Provider Information

NPI Number	:	1629202189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFRED BENG-CHYE TAY M.D.

Provider Business Mailing Address
First Line	:	370 N CHANDLER RANCH RD
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92869-4502
Country	:	US
Telephone Number	:	714-928-6796
Fax Number	:	714-997-9565

Provider Business Practice Location Address
First Line	:	370 N CHANDLER RANCH RD
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92869-4502
Country	:	US
Telephone Number	:	714-928-6796
Fax Number	:	714-997-9565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2009
Last Update Date	:	05/12/2009

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