| Ksb Gastroenterology | |
|
33 Creek Rd Suite 380 Irvine CA 92604-4791 | |
| (949) 517-8669 | |
| Not Available |
| Full Name | Ksb Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 33 Creek Rd, Irvine, California |
| Authorized Official Name and Position | Kong Peng Yap (OWNER) |
| Authorized Official Contact | 9495178669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ksb Gastroenterology 33 Creek Rd Suite 380 Irvine CA 92604-4791 Ph: (949) 517-8669 | Ksb Gastroenterology 33 Creek Rd Suite 380 Irvine CA 92604-4791 Ph: (949) 517-8669 |
| NPI Number | 1881023257 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 11/06/2013 |
| Medicare PECOS PAC ID | 3072743020 |
|---|---|
| Medicare Enrollment ID | O20140313000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881023257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A101486 (California) | Primary |
| Provider Name | Kong Peng Yap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942235288 PECOS PAC ID: 6709042781 Enrollment ID: I20120718000811 |
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