| Doctor Name: | MR. VIBOLL SEY TES |
| NPI Number: | 1083978209 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RDCS |
| License Number: | 146270 |
| Business Practice Address: | 305 N Marguerita Ave Apt 20 Alhambra, CA - 918012178 |
| Business Phone Number: | 6262329638 |
| Business Fax Number: | |
| Mailing Address: | 305 N Marguerita Ave, Apt 20 ALHAMBRA |
| State: | CA |
| Postal Code: | 918012178 |
| Phone Number: | 6262329638 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2012 |
| NPI Last Update Date: | 07/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XS1301X |
| License Number: | 146270 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |