Provider Demographics
NPI:1760056675
Name:KAO, VICTOR (PHARMD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:KAO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3531 WHISTLER AVE
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-2627
Mailing Address - Country:US
Mailing Address - Phone:808-292-0194
Mailing Address - Fax:
Practice Address - Street 1:3531 WHISTLER AVE
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-2627
Practice Address - Country:US
Practice Address - Phone:808-292-0194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83659183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist