Healthcare Provider Details

I. General information

NPI: 1427895325
Provider Name (Legal Business Name): RUO CHAO PATRICK YAO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9353 VALLEY BLVD # C
ROSEMEAD CA
91770-1923
US

IV. Provider business mailing address

9353 VALLEY BLVD # C
ROSEMEAD CA
91770-1923
US

V. Phone/Fax

Practice location:
  • Phone: 626-287-2988
  • Fax:
Mailing address:
  • Phone: 626-287-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT147374
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: