Ka Woo Medical Clinic Inc | |
841 W Valley Blvd Ste 107 Alhambra CA 91803-3251 | |
(626) 282-3657 | |
(626) 282-2759 |
Full Name | Ka Woo Medical Clinic Inc |
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Speciality | Internal Medicine |
Location | 841 W Valley Blvd Ste 107, Alhambra, California |
Authorized Official Name and Position | Tim Wong (OFFICE MANAGER) |
Authorized Official Contact | 6262823657 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ka Woo Medical Clinic Inc 841 W Valley Blvd Ste 107 Alhambra CA 91803-3251 Ph: (626) 282-3657 | Ka Woo Medical Clinic Inc 841 W Valley Blvd Ste 107 Alhambra CA 91803-3251 Ph: (626) 282-3657 |
NPI Number | 1407075948 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7719171529 |
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Medicare Enrollment ID | O20101104001338 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407075948 | NPI | - | NPPES |
00A532013 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A53201 (California) | Primary |
Provider Name | Nora K Tee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003835679 PECOS PAC ID: 4981898798 Enrollment ID: I20101104001385 |
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