| Kandu Medical Services East Chartered | |
|
210 E Hacienda Ave Campbell CA 95008-6617 | |
| (833) 526-3848 | |
| Not Available |
| Full Name | Kandu Medical Services East Chartered |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 210 E Hacienda Ave, Campbell, California |
| Authorized Official Name and Position | Nancey Trevanian Tsai (PRESIDENT, MEDICAL DIRECTOR) |
| Authorized Official Contact | 8335263848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kandu Medical Services East Chartered 210 E Hacienda Ave Campbell CA 95008-6617 Ph: (833) 526-3848 | Kandu Medical Services East Chartered 210 E Hacienda Ave Campbell CA 95008-6617 Ph: (833) 526-3848 |
| NPI Number | 1801657648 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 7810338969 |
|---|---|
| Medicare Enrollment ID | O20240507004081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801657648 | NPI | - | NPPES |
| Provider Name | Nancey Trevanian Tsai |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205938040 PECOS PAC ID: 3779581244 Enrollment ID: I20071227000600 |
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