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NPI Code Detail

MEDICARE: CHRISTINA CAO BS

MEDICARE:   CHRISTINA  CAO  BS
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1457907875
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA CAO BS
Provider Business Mailing Address
First Line : 1407 N BATAVIA ST STE 219
Second Line :
City : ORANGE
State : CA
Zip : 92867-3525
Country : US
Telephone Number : 657-456-8558
Fax Number : 833-256-3911
Provider Business Practice Location Address
First Line : 1407 N BATAVIA ST STE 219
Second Line :
City : ORANGE
State : CA
Zip : 92867-3525
Country : US
Telephone Number : 657-456-8558
Fax Number : 833-256-3911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2019
Last Update Date : 08/12/2019

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Directions to “ CHRISTINA CAO BS” Practice Location

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