Healthcare Provider Details

I. General information

NPI: 1518349745
Provider Name (Legal Business Name): JOSIE L CAO PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 06/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 YORKTOWN AVE
HUNTINGTON BEACH CA
92648
US

IV. Provider business mailing address

7201 YORKTOWN AVE
HUNTINGTON BEACH CA
92648
US

V. Phone/Fax

Practice location:
  • Phone: 714-536-3679
  • Fax:
Mailing address:
  • Phone: 714-536-3679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number54723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: