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KEVIN KHAI TIEU MD A PROFESSIONAL CORPORATION NPI 1174693881


NPI Information

NPI: 1174693881
Provider Name: KEVIN KHAI TIEU MD A PROFESSIONAL CORPORATION

Doing Business As: KEVIN KHAI TIEU, MD PC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
16543 BROOKHURST ST
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 418-9749
Get Directions

KEVIN KHAI TIEU MD A PROFESSIONAL CORPORATION is an obstetrics gynecology in Fountain Valley, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. KEVIN KHAI TIEU MD A PROFESSIONAL CORPORATION NPI is 1174693881. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kevin Khai Tieu, Md Pc.

The provider's business location address is:

16543 BROOKHURST ST
FOUNTAIN VALLEY, CA
ZIP 92708-343
Phone: (714) 418-9749
Fax: (714) 418-1047

The provider's authorized official is Kevin Khai Tuan Tieu .
The authorized official title is President Md and has the following contact phone number (714) 418-9749.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/19/2019.


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
1207V00000XObstetrics & GynecologyA77268CALIFORNIAYes

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
100A772680MEDICAIDCALIFORNIA

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: 4/28/2024

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