Healthcare Provider Details

I. General information

NPI: 1528230398
Provider Name (Legal Business Name): TSETEN CHOKEY DORJEE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 03/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 CORTINA DR
ORLAND CA
95963-1699
US

IV. Provider business mailing address

PO BOX AD
YUBA CITY CA
95992-1396
US

V. Phone/Fax

Practice location:
  • Phone: 530-865-5544
  • Fax: 530-865-9209
Mailing address:
  • Phone: 530-751-3769
  • Fax: 530-751-1237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA19634
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: