MEDICARE: YUNG YUAN KAO

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	171100000X	Acupuncturist	AC20108	CA

General Provider Information

NPI Number	:	1497590319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUNG YUAN KAO

Provider Business Mailing Address
First Line	:	1545 VALLECITO
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91768-4131
Country	:	US
Telephone Number	:	909-938-1478
Fax Number	:

Provider Business Practice Location Address
First Line	:	17595 ALMAHURST ST STE 222
Second Line	:
City	:	CITY OF INDUSTRY
State	:	CA
Zip	:	91748-1799
Country	:	US
Telephone Number	:	909-938-1478
Fax Number	:

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

Provider Enumeration Date	:	07/01/2024
Last Update Date	:	07/01/2024

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Directions to “ YUNG YUAN KAO ” Practice Location

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