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SAM KHOO P.A.

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1891815080

Individual Registrant:
 SAM  KHOO P.A.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
476 E. WASHINGTON STREET  EARLIMART, CA 93219 US
Tel: 661-849-2638  Fax: 661-849-5719

Contact information for business:
PO BOX 790 650 ZEDIKER AVE. PARLIER, CA 93648-0790 US
Tel: 559-646-6618  Fax: 559-646-6614

Registration Information:
NPI: 1891815080
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CAPA13943

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CA PA LIC#PA13943CA01




HEALTH CARE JOBS CA - Page 1



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