Individual
THANH CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11100 WARNER AVE STE 218, FOUNTAIN VALLEY, CA 92708-7511
(714) 641-9696
(714) 641-1211
Mailing address
9373 HAZARD WAY STE 200, SAN DIEGO, CA 92123-1226
(858) 810-8000
(858) 268-1911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A17028
CA
207RN0300X
Nephrology Physician
Primary
20A17028
CA
Other
Enumeration date
06/15/2016
Last updated
01/16/2026
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