MEDICARE: DR. KE-PING TSAO M.D.

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	174400000X	Specialist	A26071	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902979636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KE-PING TSAO M.D.

Provider Business Mailing Address
First Line	:	1035 PEACH ST STE 303
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-2700
Country	:	US
Telephone Number	:	805-543-9377
Fax Number	:	805-543-1820

Provider Business Practice Location Address
First Line	:	1035 PEACH ST STE 303
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-2700
Country	:	US
Telephone Number	:	805-543-9377
Fax Number	:	805-543-1820

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	07/08/2007

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