Search › California › 374U00000X
Sung-Keun Tak
NPI 1235686908 · on the registry since 2016
Practice
- Address
- 17015 Walnut Grove Dr
Suite 103
Morgan Hill, CA 95037 - Phone
- (408) 370-6360
- Organisation at this address
- Fidelity Senior Solutions, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California