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KHAE SAEPHANH D.O. INC NPI 1891858650


NPI Information

NPI: 1891858650
Provider Name: KHAE SAEPHANH, D.O., INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1569 LEXANN AVE
SUITE 128
SAN JOSE, CA
ZIP 95121
Phone: (408) 274-3200
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KHAE SAEPHANH, D.O., INC is a family medicine in San Jose, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KHAE SAEPHANH, D.O., INC NPI is 1891858650. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1569 LEXANN AVE
SUITE 128
SAN JOSE, CA
ZIP 95121-793
Phone: (408) 274-3200
Fax: (408) 274-8021

The provider's authorized official is Khae Vang Saephanh .
The authorized official title is Doctor and has the following contact phone number (408) 274-3200.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 6/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A9049CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120A9049OTHERCALIFORNIAMEDICAL LICENCE
200AX90490MEDICAIDCALIFORNIA
3BS9580502OTHERCALIFORNIADEA NUMBER
4=========OTHEREIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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