| Henry Kaw Md Inc | |
|
321 N Pomona Ave Suite B Fullerton CA 92832-1927 | |
| (714) 462-8383 | |
| (714) 462-8384 |
| Full Name | Henry Kaw Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 321 N Pomona Ave, Fullerton, California |
| Authorized Official Name and Position | Henry R Kaw (CEO) |
| Authorized Official Contact | 7147477476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Kaw Md Inc 321 N Pomona Ave Suite B Fullerton CA 92832-1927 Ph: (714) 462-8383 | Henry Kaw Md Inc 321 N Pomona Ave Suite B Fullerton CA 92832-1927 Ph: (714) 462-8383 |
| NPI Number | 1992982292 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 02/12/2014 |
| Medicare PECOS PAC ID | 3274698956 |
|---|---|
| Medicare Enrollment ID | O20090212000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992982292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A95068 (California) | Primary |
| Provider Name | Henry R Kaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215022967 PECOS PAC ID: 3779583117 Enrollment ID: I20070108000526 |
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