TAEHO IM MD INC
Anesthesiologist Assistant at Coffee Rd, Modesto, CA

License number
California G66753
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: TAEHO IM MD INC
Title: PRESIDENT
Phone: (209) 529-9603
Address
Address
1700 Coffee Rd, Modesto, CA 95355
National Provider ID: 1053486498
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TAEHO IM MD INC at bizstanding.com

TAEHO IM, M.D., INC

3224 Lakeshore Ct, Modesto, CA 95355

Industry:
Medical Doctor's Office
Registration:
Jul 13, 1993
State ID:
C1861669
Business type:
Articles of Incorporation
Presidents:
Im Taeho (President),Taeho Im President, inactive
Agent:
Jay Carlberg,Modesto, CA 95356 (Physical)

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