Individual
CHENGHU GAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 S PALOS VERDES ST APT 641, SAN PEDRO, CA 90731-5127
(860) 965-6387
Mailing address
550 S PALOS VERDES ST APT 641, SAN PEDRO, CA 90731-5127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95207352
CA
Other
Enumeration date
06/20/2026
Last updated
06/20/2026
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