Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | A53949 | CA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A53949 | CA |
NPI | 1427129337 |
---|---|
Provider Name | Thomas X. Cuyegkeng |
First Address | Fullerton, CA 92835-3800 |
Second Address | Fullerton, CA 92835-3800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 10/02/2022 |