Kandu Medical Services West Pc | |
210 E Hacienda Ave Campbell CA 95008-6617 | |
(833) 526-3848 | |
Not Available |
Full Name | Kandu Medical Services West Pc |
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Speciality | Psychiatry & Neurology |
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 |
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Kandu Medical Services West Pc 210 E Hacienda Ave Campbell CA 95008-6617 Ph: (833) 526-3848 | Kandu Medical Services West Pc 210 E Hacienda Ave Campbell CA 95008-6617 Ph: (833) 526-3848 |
NPI Number | 1821859661 |
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Provider Enumeration Date | 01/18/2024 |
Last Update Date | 11/04/2024 |
Certification Date | 11/04/2024 |
Medicare PECOS PAC ID | 4082050711 |
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Medicare Enrollment ID | O20240315001980 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821859661 | NPI | - | NPPES |
Provider Name | Nancey Trevanian Tsai |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1205938040 PECOS PAC ID: 3779581244 Enrollment ID: I20240319001281 |
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