Doctor Name: | AARON TEA |
NPI Number: | 1285097998 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | 95004072 |
Business Practice Address: | 18558 Gale Ave Ste 200 City Of Industry, CA - 917481394 |
Business Phone Number: | 6265811282 |
Business Fax Number: | |
Mailing Address: | 815 W Hellman Ave, ALHAMBRA |
State: | CA |
Postal Code: | 918034012 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/30/2016 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 95004072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |