Rhee, Tae Ryang
Rhee, Tae Ryang is an sole proprietor health care provider with primary practice located at 12555 Garden Grove Blvd Ste 408 , Garden Grove CA 92843-1904. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rhee, Tae Ryang can be contacted via phone (714) 530-1010.Contact Information
Primary practice address
12555 Garden Grove Blvd Ste 408
Garden Grove CA 92843-1904
Phone: (714) 530-1010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A26795 | California |
Profile Details
| NPI number | 1235207614 |
|---|---|
| LBN Legal business name | Rhee, Tae Ryang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Oct 16th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235207614 | NPPES |
| California | MEDICAID | 00A267951 |
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