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Kyle Tanedo
NPI 1326593351 · on the registry since 2016
Practice
- Address
- 77 N San Mateo Dr
Suite 2
San Mateo, CA 94401 - Phone
- (650) 652-2376
- Fax
- (650) 652-9097
- Organisation at this address
- San Mateo Orthopedic Medical Group Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-19
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