MEDICARE: ANTHONY KAO NP-C

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	363LF0000X	Family Nurse Practitioner	95017679	CA

General Provider Information

NPI Number	:	1366014839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY KAO NP-C

Provider Business Mailing Address
First Line	:	5660 STRATFORD CIR
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90621-3945
Country	:	US
Telephone Number	:	833-379-6863
Fax Number	:	833-379-6863

Provider Business Practice Location Address
First Line	:	PO BOX 641519
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-6519
Country	:	US
Telephone Number	:	833-379-6863
Fax Number	:

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

Provider Enumeration Date	:	07/14/2021
Last Update Date	:	09/09/2025

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