Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KIN TAK SO, R.V.T
ActiveMR. KIN TAK SO, R.V.T is a 2471V0105X healthcare provider located in SAN GABRIEL, California. NPI 1457544132 is currently active in the NPPES registry. Verify at CMS.
2471V0105X · SAN GABRIEL, CA
Registration Details
- NPI Number
- 1457544132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2007 (18.983046463842 yrs)
- Last Updated
- Aug 24, 2007
- License
-
109278 (CA)
Practice Information
- Address
-
1316 STEVENS AVEUNIT BSAN GABRIEL, CA, 917764477Browse CA providers · Browse ZIP 91776
- Phone
- 6268187226
- Primary Specialty
-
2471V0105X
2471V0105X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.