Healthcare Provider Details

I. General information

NPI: 1326209438
Provider Name (Legal Business Name): YING CAO MD, PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2008
Last Update Date: 12/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15400 NATIONAL AVE SUITE 201
LOS GATOS CA
95032-2433
US

IV. Provider business mailing address

15400 NATIONAL AVE SUITE 201
LOS GATOS CA
95032-2433
US

V. Phone/Fax

Practice location:
  • Phone: 408-358-8444
  • Fax: 408-358-4022
Mailing address:
  • Phone: 408-358-8444
  • Fax: 408-358-4022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA123342
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: