Individual
NICHOLAS CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2650 E IMPERIAL HWY STE 207, BREA, CA 92821-6103
(310) 808-3753
Mailing address
1525 W TOSCANINI DR, RANCHO PALOS VERDES, CA 90275-1837
(310) 831-0962
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA50161
CA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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