Tieu, Kevin Khai Tuan

Tieu, Kevin Khai Tuan is an individual health care provider with primary practice located at 16543 Brookhurst St , Fountain Valley CA 92708-2343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tieu, Kevin Khai Tuan can be contacted via phone (714) 418-9749.

Contact Information

Primary practice address
16543 Brookhurst St Fountain Valley CA 92708-2343
Phone: (714) 418-9749
Fax: (714) 418-1047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A77268 California

Profile Details

NPI number 1154397768
LBN Legal business name Tieu, Kevin Khai Tuan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated May 30th, 2019 - about 7 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 1154397768 NPPES
California MEDICAID 2012536

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