Provider Demographics
NPI:1679863815
Name:KAO, CHRISTINA (PHARM-D)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:
Last Name:KAO
Suffix:
Gender:F
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20580 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-0432
Mailing Address - Country:US
Mailing Address - Phone:408-253-2005
Mailing Address - Fax:408-253-1386
Practice Address - Street 1:20580 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-0432
Practice Address - Country:US
Practice Address - Phone:408-253-2005
Practice Address - Fax:408-253-1386
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH47816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist