Taeho Im Md Inc

NPI 1053486498 - Anesthesiology - 207L00000X

NPI Details
NPI 1053486498
Enumeration Date 11/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TAEHO TAEHO
Position PRESIDENT
Phone (209) 526-4500
Fax
Practice Location
1700 COFFEE ROAD
MODESTO CA, 95355, US
Phone (209) 526-4500
Fax
Business Location
817 COFFEE ROAD
C3
MODESTO CA, 95355, US
Phone (209) 529-9603
Fax (209) 529-6610
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number G66753
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According to our database, Taeho Im Md Inc NPI is 1053486498, taxonomy code is 207L00000X and license number is G66753, license state is located at California. Taeho Im Md Inc physically located at 1700 Coffee Road, Modesto CA, 95355. NPI Number 1033115704 has the healthcare provider type.

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1053486498 NPI number is provided on an as is basis without warranty of any kind. 1053486498 is maintained by the National Plan & Provider Enumeration System. The contents of Taeho Im Md Inc are for informational purposes only.