Organization
KAO PLASTIC SURGERY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIA CHI KAO M.D. (PRESIDENT & OWNER)
(310) 315-9211
Entity
Organization
Contact information
Practice address
1301 20TH ST, SUITE 150, SANTA MONICA, CA 90404-2050
(310) 315-9211
(310) 315-9392
Mailing address
PO BOX 940249, SIMI VALLEY, CA 93094-0249
(805) 581-5575
(310) 634-1847
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
02/02/2010
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