MEDICARE: SEAN CAO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	G73196	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558360966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN CAO M.D.

Provider Business Mailing Address
First Line	:	9940 TALBERT AVE
Second Line	:	STE. 202
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-5153
Country	:	US
Telephone Number	:	714-378-5790
Fax Number	:	714-378-5544

Provider Business Practice Location Address
First Line	:	9940 TALBERT AVE
Second Line	:	STE. 202
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-5153
Country	:	US
Telephone Number	:	714-378-5790
Fax Number	:	714-378-5544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	08/18/2008

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