MEDICARE: DR. KITTYA PAIGNE MD

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	207R00000X	Internal Medicine Physician	G79550	CA

General Provider Information

NPI Number	:	1225058837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KITTYA PAIGNE MD

Provider Business Mailing Address
First Line	:	1533 ALAMITOS AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-2214
Country	:	US
Telephone Number	:	562-218-5350
Fax Number	:	562-218-1630

Provider Business Practice Location Address
First Line	:	1533 ALAMITOS AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-2214
Country	:	US
Telephone Number	:	562-218-5350
Fax Number	:	562-218-1630

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/08/2010

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Directions to “ DR. KITTYA PAIGNE MD” Practice Location

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