Healthcare Provider Details

I. General information

NPI: 1396968509
Provider Name (Legal Business Name): KAO CHIU SAECHAO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 8TH ST STE 201
OAKLAND CA
94607-6527
US

IV. Provider business mailing address

310 8TH ST STE 201
OAKLAND CA
94607-6527
US

V. Phone/Fax

Practice location:
  • Phone: 510-735-3934
  • Fax:
Mailing address:
  • Phone: 510-735-3934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW29366
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: