Provider Demographics
NPI:1689959009
Name:GAO, HONG MING
Entity Type:Individual
Prefix:
First Name:HONG MING
Middle Name:
Last Name:GAO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9818 GARIBALDI AVE.
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-1713
Mailing Address - Country:US
Mailing Address - Phone:626-359-7808
Mailing Address - Fax:626-531-6630
Practice Address - Street 1:1740 HUNTINGTON DR # 102C
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-2580
Practice Address - Country:US
Practice Address - Phone:626-359-7808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2018-08-22
Deactivation Date:2016-04-26
Deactivation Code:
Reactivation Date:2018-08-22
Provider Licenses
StateLicense IDTaxonomies
CA13878171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist