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Individual

KAIFAN ZHAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051
(626) 775-3514

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95003066
CA
363LA2100X
Acute Care Nurse Practitioner
95003066
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95003066
CA

Other

Enumeration date
09/01/2015
Last updated
12/03/2020
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