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NPI Code Detail

MEDICARE: JERRY KUO-CHENG KAO P.T.

MEDICARE:   JERRY KUO-CHENG KAO  P.T.
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
1225100000XPhysical Therapist27568CA

General Provider Information

NPI Number : 1942258520
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY KUO-CHENG KAO P.T.
Provider Business Mailing Address
First Line : 3334 ALBEDO ST
Second Line :
City : HACIENDA HTS
State : CA
Zip : 91745-6101
Country : US
Telephone Number : 626-330-9396
Fax Number : 626-330-9396
Provider Business Practice Location Address
First Line : 3178 ALLENTON AVE
Second Line :
City : HACIENDA HTS
State : CA
Zip : 91745-6403
Country : US
Telephone Number : 626-330-9396
Fax Number : 626-330-9396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 12/23/2021

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Directions to “ JERRY KUO-CHENG KAO P.T.” Practice Location

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