Tay, Emerald S

Tay, Emerald S is an individual health care provider with primary practice located at 222 E Valley Blvd , San Gabriel CA 91776-3521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tay, Emerald S can be contacted via phone (626) 307-8636.

Contact Information

Primary practice address
222 E Valley Blvd San Gabriel CA 91776-3521
Phone: (626) 307-8636
Fax: (626) 307-8705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A72223 California

Profile Details

NPI number 1255331294
LBN Legal business name Tay, Emerald S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Dec 21st, 2016 - about 10 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 1255331294 NPPES
California MEDICAID 00A722230

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