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NPI Code Detail

MEDICARE: TIANYUN GAO

MEDICARE:   TIANYUN  GAO
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
11835P0200XPediatric Pharmacist80167CA

General Provider Information

NPI Number : 1366389389
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANYUN GAO
Provider Business Mailing Address
First Line : 1201 W LA VETA AVE
Second Line :
City : ORANGE
State : CA
Zip : 92868-4203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W LA VETA AVE
Second Line :
City : ORANGE
State : CA
Zip : 92868-4203
Country : US
Telephone Number : 714-203-2181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2026
Last Update Date : 04/29/2026

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Directions to “ TIANYUN GAO ” Practice Location

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