MEDICARE: CHUNFUN FRANKIE TAO 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	A92553	CA

General Provider Information

NPI Number	:	1831278969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHUNFUN FRANKIE TAO MD

Provider Business Mailing Address
First Line	:	2010 COLORADO AVE
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95382-2002
Country	:	US
Telephone Number	:	209-667-1718
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 COLORADO AVE
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95382-2002
Country	:	US
Telephone Number	:	209-667-1718
Fax Number	:

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	12/13/2021

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