Kedy Ying Jao D.o. A Medical Corp | |
500 S Kraemer Blvd Ste 240 Brea CA 92821-6778 | |
(714) 930-1351 | |
(714) 930-1361 |
Full Name | Kedy Ying Jao D.o. A Medical Corp |
---|---|
Speciality | Family Medicine |
Location | 500 S Kraemer Blvd Ste 240, Brea, California |
Authorized Official Name and Position | Kedy Ying Jao (D.O.) |
Authorized Official Contact | 7149301351 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kedy Ying Jao D.o. A Medical Corp 500 S Kraemer Blvd Ste 240 Brea CA 92821-6778 Ph: (714) 930-1351 | Kedy Ying Jao D.o. A Medical Corp 500 S Kraemer Blvd Ste 240 Brea CA 92821-6778 Ph: (714) 930-1351 |
NPI Number | 1710168687 |
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Provider Enumeration Date | 11/20/2007 |
Last Update Date | 07/13/2023 |
Medicare PECOS PAC ID | 6709864051 |
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Medicare Enrollment ID | O20040712001534 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710168687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kedy Y Jao |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629144464 PECOS PAC ID: 5698753945 Enrollment ID: I20040712001570 |
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