Healthcare Provider Details

I. General information

NPI: 1609927565
Provider Name (Legal Business Name): THANH-NHA CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 GEARY BLVD
SAN FRANCISCO CA
94115
US

IV. Provider business mailing address

1301 14TH AVE #12
SAN FRANCISCO CA
94122
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-9700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number58942
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: