Kiet A.t. Ton, Md, Corp. | |
14024 Magnolia St Ste 104 Westminster CA 92683-4766 | |
(714) 895-8583 | |
(714) 895-8625 |
Full Name | Kiet A.t. Ton, Md, Corp. |
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Speciality | Family Medicine |
Location | 14024 Magnolia St Ste 104, Westminster, California |
Authorized Official Name and Position | Kiet Anh That Ton (PRESIDENT) |
Authorized Official Contact | 6577890999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kiet A.t. Ton, Md, Corp. 14024 Magnolia St Ste 104 Westminster CA 92683-4766 Ph: (714) 895-8583 | Kiet A.t. Ton, Md, Corp. 14024 Magnolia St Ste 104 Westminster CA 92683-4766 Ph: (714) 895-8583 |
NPI Number | 1467077933 |
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Provider Enumeration Date | 06/10/2020 |
Last Update Date | 10/28/2024 |
Medicare PECOS PAC ID | 2163849860 |
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Medicare Enrollment ID | O20200826001871 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467077933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Kiet A Ton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558326371 PECOS PAC ID: 8628159845 Enrollment ID: I20190118002795 |
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