Search › California › 122300000X
Ke Tiao
NPI 1538774948 · on the registry since 2020
Practice
- Address
- 92055 14th St
Camp Pendleton North
Camp Pendleton, CA 92058 - Phone
- (760) 725-5870
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-15
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