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NPI Code Detail

MEDICARE: GENE KYO OH MD INC

MEDICARE: GENE KYO OH MD INC
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
1207L00000XAnesthesiology PhysicianA26489CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700837937
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENE KYO OH MD INC
Provider Business Mailing Address
First Line : PO BOX 775
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92842
Country : US
Telephone Number : 714-636-0342
Fax Number : 714-636-0391
Provider Business Practice Location Address
First Line : 12900A GARDEN GROVE BLVD
Second Line : #122
City : GARDEN GROVE
State : CA
Zip : 92843
Country : US
Telephone Number : 714-636-0342
Fax Number : 714-636-0391
Authorized Official
Title or Position : PRESIDENT
Name : GENE KYO OH
Credential : MD
Telephone Number : 714-998-8133
Provider Enumeration Date : 05/12/2006
Last Update Date : 12/13/2007

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Directions to “GENE KYO OH MD INC ” Practice Location

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