Cao, Judy

Cao, Judy is an individual health care provider with primary practice located at 360 E Las Tunas Dr Ste 203 , San Gabriel CA 91776-5514. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is her primary health care specialty. Cao, Judy can be contacted via phone (888) 988-4936.

Contact Information

Primary practice address
360 E Las Tunas Dr Ste 203 San Gabriel CA 91776-5514
Phone: (888) 988-4936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 15060TLG California
Eye and Vision Services Providers / Vision Therapy 152WV0400X 15060TLG California

Profile Details

NPI number 1396153508
LBN Legal business name Cao, Judy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2014
Last updated May 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396153508 NPPES
California Other CB262466 MEDICARE PTAN SO CAL

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