Organization
GARY C KAO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY C KAO MD (PRESIDENT)
(714) 636-0342
Entity
Organization
Contact information
Practice address
12900A GARDEN GROVE BLVD, #122, GARDEN GROVE, CA 92843
(714) 636-0342
(714) 636-0391
Mailing address
PO BOX 775, GARDEN GROVE, CA 92842
(714) 636-0342
(714) 636-0391
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A53740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A537400
—
CA
01
—
BG301
MEDICARE PTAN
CA
Enumeration date
08/29/2006
Last updated
12/03/2012
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