| Khai Do Md Inc. | |
|
9880 Central Ave Montclair CA 91763-2817 | |
| (909) 621-3012 | |
| (909) 621-3015 |
| Full Name | Khai Do Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9880 Central Ave, Montclair, California |
| Authorized Official Name and Position | Khai Do (M.D.) |
| Authorized Official Contact | 9096213012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khai Do Md Inc. 9880 Central Ave Montclair CA 91763-2817 Ph: (909) 621-3012 | Khai Do Md Inc. 9880 Central Ave Montclair CA 91763-2817 Ph: (909) 621-3012 |
| NPI Number | 1124496021 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 06/02/2016 |
| Medicare PECOS PAC ID | 5991095721 |
|---|---|
| Medicare Enrollment ID | O20160606002632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124496021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Primary |
| Provider Name | Khai Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396939526 PECOS PAC ID: 7214112390 Enrollment ID: I20110505000300 |
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