Individual
ANDREW LAM CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-3238
(510) 981-5290
Mailing address
3939 MONROE AVE APT 217, FREMONT, CA 94536-6951
(415) 307-8910
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95253275
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95253275
CA
Other
Enumeration date
01/07/2022
Last updated
01/10/2024
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