MEDICARE: DR. PHILIP HAU DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	57453	CA

General Provider Information

NPI Number	:	1124274295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP HAU DDS

Provider Business Mailing Address
First Line	:	25621 BURKE LN
Second Line	:
City	:	LOS ALTOS HILLS
State	:	CA
Zip	:	94022-3409
Country	:	US
Telephone Number	:	650-949-1164
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 SARATOGA AVE
Second Line	:	SUITE 100
City	:	SAN JOSE
State	:	CA
Zip	:	95129-2639
Country	:	US
Telephone Number	:	408-246-8686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2008
Last Update Date	:	10/15/2014

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