Individual
JERRY KAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 634-3230
(760) 940-7934
Mailing address
PO BOX 2829, DEL MAR, CA 92014-5829
(619) 325-8726
(619) 325-8728
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
A77744
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A77744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A777440
—
CA
Enumeration date
07/31/2006
Last updated
06/19/2008
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