MEDICARE: LUKE S. KAO M.D. INC

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	208800000X	Urology Physician	A32679	CA

General Provider Information

NPI Number	:	1790765022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUKE S. KAO M.D. INC

Provider Business Mailing Address
First Line	:	10230 ARTESIA BLVD
Second Line	:	SUITE#105
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-6763
Country	:	US
Telephone Number	:	562-866-9792
Fax Number	:	562-866-3033

Provider Business Practice Location Address
First Line	:	10230 ARTESIA BLVD
Second Line	:	SUITE#105
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-6763
Country	:	US
Telephone Number	:	562-866-9792
Fax Number	:	562-866-3033

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	03/18/2009

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