Individual
JACK SHIH-CHIEH KAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 S GRAND AVE APT 1212, LOS ANGELES, CA 90015-2789
(714) 309-6697
Mailing address
1155 S GRAND AVE APT 1212, LOS ANGELES, CA 90015-2789
(714) 309-6697
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
219901
MA
207L00000X
Anesthesiology Physician
Primary
A69438
CA
207R00000X
Internal Medicine Physician
A69438
CA
Other
Enumeration date
05/18/2006
Last updated
03/02/2015
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