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NPI Code Detail

MEDICARE: KAI KWAN TOM MOK

MEDICARE: KAI KWAN TOM MOK
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2225400000XRehabilitation Practitioner
3246ZS0410XSurgical Technologist

General Provider Information

NPI Number : 1629844741
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAI KWAN TOM MOK
Provider Business Mailing Address
First Line : 1341 N ESCONDIDO BLVD
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-2507
Country : US
Telephone Number : 760-747-1051
Fax Number :
Provider Business Practice Location Address
First Line : 1341 N ESCONDIDO BLVD
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-2507
Country : US
Telephone Number : 760-747-1051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2023
Last Update Date : 03/17/2026

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Directions to “ KAI KWAN TOM MOK ” Practice Location

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