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NPI Code Detail

MEDICARE: DR. ERIKA M. KAO PH.D.

MEDICARE: DR. ERIKA M. KAO PH.D.
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
1103TF0200XForensic PsychologistPSY20112CA
2103G00000XClinical NeuropsychologistPSY20112CA
3103T00000XPsychologistPSY20112CA
4103TC0700XClinical Psychologist20112CA
5103TC0700XClinical PsychologistPSY20112CA

General Provider Information

NPI Number : 1255369310
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIKA M. KAO PH.D.
Provider Business Mailing Address
First Line : 12636 HIGH BLUFF DR STE 400
Second Line :
City : SAN DIEGO
State : CA
Zip : 92130-2071
Country : US
Telephone Number : 619-519-2985
Fax Number :
Provider Business Practice Location Address
First Line : 12636 HIGH BLUFF DR STE 400
Second Line :
City : SAN DIEGO
State : CA
Zip : 92130-2071
Country : US
Telephone Number : 858-472-8959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 01/14/2022

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