Kea Ja Pai in Fountain Valley - General Practice

Kea Ja Pai - NPI 1104877513

Kea Ja Pai is a General Practice in Fountain Valley, California. Kea Ja Pai practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kea Ja Pai is 1104877513. The last update date is 2007-07-08.

Kea Ja Pai's current location address is 11160 Warner Ave, Fountain Valley, California. You can contact this provider via phone number 7149665205 and fax number 9149665205. The mailing address for Kea Ja Pai is 11160 Warner Ave, Fountain Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kea Ja Pai
Address 11160 Warner Ave, Fountain Valley, California
Phone Number 7149665205
Fax Number 9149665205
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104877513
Provider Enumeration Date 2006-05-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11160 Warner Ave
City Fountain Valley
State California (CA)
Post Code 92708
Phone Number 7149665205
Fax Number 9149665205

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No C40734
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Kea Ja Pai

What is the Kea Ja Pai's 1104877513?

The Kea Ja Pai's NPI (National Provider Identifier) Number is 1104877513. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kea Ja Pai's facilities are geographically located?

The facilities of Kea Ja Pai are physically situated at the following location: 11160 Warner Ave, Fountain Valley, CA, 92708.

What is Kea Ja Pai's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kea Ja Pai's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1104877513 to Kea Ja Pai?

The Kea Ja Pai received its 1104877513 assignment from the Centers for Medicare & Medicaid Services on 2006-05-12.

As of what date were the Kea Ja Pai's details last updated?

The information pertaining to the Kea Ja Pai, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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