Kao, Jerry

Kao, Jerry is an individual health care provider with primary practice located at 4002 Vista Way , Oceanside CA 92056-4506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Kao, Jerry can be contacted via phone (760) 634-3230.

Contact Information

Primary practice address
4002 Vista Way Oceanside CA 92056-4506
Phone: (760) 634-3230
Fax: (760) 940-7934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X A77744 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A77744 California

Profile Details

NPI number 1588670707
LBN Legal business name Kao, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jun 19th, 2008 - about 16 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 1588670707 NPPES
California MEDICAID 00A777440

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