Organization
JACK S KAO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK S KAO M.D. (PRESIDENT/SOLE OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
5900 W OLYMPIC BLVD, LOS ANGELES, CA 90036-4671
(310) 657-5900
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A69438
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A69438
CA
Other
Enumeration date
09/24/2008
Last updated
08/24/2015
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