=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295810729
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STRONG AND TAY MDS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/25/2006
-----------------------------------------------------
Last Update Date | 01/28/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 39233 LIBERTY ST
-----------------------------------------------------
City | FREMONT
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94538-1501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-795-8186
-----------------------------------------------------
Fax | 510-792-8186
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 39233 LIBERTY ST
-----------------------------------------------------
City | FREMONT
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94538-1501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-795-8186
-----------------------------------------------------
Fax | 510-792-8186
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING PARTNER
-----------------------------------------------------
Name | DR. DAVID TAY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 510-795-8186
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | G69757
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | A68265
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | A65315
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------