Healthcare Provider Details

I. General information

NPI: 1417235920
Provider Name (Legal Business Name): OANH CAO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. CATHERINE CAO

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34800 BOB WILSON DR
SAN DIEGO CA
92134-1098
US

IV. Provider business mailing address

PO BOX 12756
WESTMINSTER CA
92685-2756
US

V. Phone/Fax

Practice location:
  • Phone: 619-524-4051
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY24335
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: