Doctor Name: | SUSIE SAW-SIM KHOO KAY |
NPI Number: | 1992881650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M D |
License Number: | A35778 |
Business Practice Address: | 1240 S San Gabriel Blvd San Gabriel, CA - 917763117 |
Business Phone Number: | 6262850185 |
Business Fax Number: | 6262850163 |
Mailing Address: | 1240 S San Gabriel Blvd, SAN GABRIEL |
State: | CA |
Postal Code: | 917763117 |
Phone Number: | 6262850185 |
Fax Number: | 6262850163 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A35778 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |