Tao, Suehong

Tao, Suehong is an individual health care provider with primary practice located at 17083 Main St , Hesperia CA 92345-6075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tao, Suehong can be contacted via phone (760) 241-6666.

Contact Information

Primary practice address
17083 Main St Hesperia CA 92345-6075
Phone: (760) 241-6666
Fax: (760) 947-5619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD073327L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 222009 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C150655 California

Profile Details

NPI number 1588639314
LBN Legal business name Tao, Suehong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Nov 11th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588639314 NPPES
Pennsylvania MEDICAID 0018489060003
Pennsylvania MEDICAID 02407312

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