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SAM KHOO P.A.
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant 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:
Primary | Code | Category/Description | State | License Number |
---|
Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant
| CA | PA13943 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
CA PA LIC# | PA13943 | CA | 01 |
HEALTH CARE JOBS CA - Page 1