Provider Demographics
NPI:1467762161
Name:CAO, ELIZABETH NGUYEN (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:NGUYEN
Last Name:CAO
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:488 E VALLEY PKWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3363
Mailing Address - Country:US
Mailing Address - Phone:760-432-8800
Mailing Address - Fax:760-432-8105
Practice Address - Street 1:488 E VALLEY PKWY
Practice Address - Street 2:SUITE 107
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3363
Practice Address - Country:US
Practice Address - Phone:760-432-8800
Practice Address - Fax:760-432-8105
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2022-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA118470207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology