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NPI Code Detail

MEDICARE: DR. VICTORIA S PAO M.D.

MEDICARE: DR. VICTORIA S PAO M.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
1208200000XPlastic Surgery PhysicianA70717CA

General Provider Information

NPI Number : 1295726768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA S PAO M.D.
Provider Business Mailing Address
First Line : 20055 LAKE CHABOT RD
Second Line : SUITE 340
City : CASTRO VALLEY
State : CA
Zip : 94546-5331
Country : US
Telephone Number : 510-537-1577
Fax Number : 510-537-1436
Provider Business Practice Location Address
First Line : 19842 LAKE CHABOT RD
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-4002
Country : US
Telephone Number : 510-537-1577
Fax Number : 510-537-1436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/21/2021

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Directions to “ DR. VICTORIA S PAO M.D.” Practice Location

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