| Kaihoo Tang, PA-C | |
|
5507 Dudley Blvd, Mcclellan, CA 95652-1015 | |
| (707) 816-5884 | |
| Not Available |
| Full Name | Kaihoo Tang |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 5507 Dudley Blvd, Mcclellan, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235368788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 19578 (California) | Primary |
| Entity Name | Imperial Valley Family Care Medical Group a P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275581894 PECOS PAC ID: 0446243083 Enrollment ID: O20040407001358 |
| Entity Name | Apex Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265711089 PECOS PAC ID: 4688844277 Enrollment ID: O20110909002790 |
| Entity Name | Merced Hospitalist Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730431875 PECOS PAC ID: 5890948582 Enrollment ID: O20130108000022 |
| Entity Name | Grand Avenue Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962913632 PECOS PAC ID: 7315206653 Enrollment ID: O20180112002313 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaihoo Tang, PA-C 15765 Camino Codorniz, San Diego, CA 92127-5823 Ph: Not Available | Kaihoo Tang, PA-C 5507 Dudley Blvd, Mcclellan, CA 95652-1015 Ph: (707) 816-5884 |
Mrs. Isabella Suet Wong, NP/PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd, Mcclellan, CA 95652 Phone: 916-561-7485 Fax: 916-561-7486 |
Brandon T Rozell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd, Mcclellan, CA 95652 Phone: 916-561-7560 |
Mr. Robert David Coleman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd, Mcclellan, CA 95652 Phone: 916-561-7793 |