Healthcare Provider Details

I. General information

NPI: 1881486835
Provider Name (Legal Business Name): YAFEI CAO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2025
Last Update Date: 05/17/2025
Certification Date: 05/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1632 E ROBINSON WAY
CHANDLER AZ
85225-5332
US

IV. Provider business mailing address

1632 E ROBINSON WAY
CHANDLER AZ
85225-5332
US

V. Phone/Fax

Practice location:
  • Phone: 480-803-6253
  • Fax:
Mailing address:
  • Phone: 480-803-6253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC-012257
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: