Healthcare Provider Details

I. General information

NPI: 1710687231
Provider Name (Legal Business Name): NAITING CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 03/03/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UPWARD HEALTH OF CALIFORNIA PC 470 NOOR AVENUE SUITE B #1057
S SAN FRANSISCO CA
94080-5957
US

IV. Provider business mailing address

UPWARD HEALTH OF CALIFORNIA PC - CHRISTAL LONG 80 ARKAY DR. SUITE 230
HAUPPAUGE NY
11788-8888
US

V. Phone/Fax

Practice location:
  • Phone: 888-985-5455
  • Fax:
Mailing address:
  • Phone: 888-985-5455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: