| 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 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 07/13/2023 |
| Medicare PECOS PAC ID | 6709864051 |
|---|---|
| Medicare Enrollment ID | O20040712001534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710168687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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