Provider Demographics
NPI:1760926083
Name:GAO, LINA (NP)
Entity Type:Individual
Prefix:
First Name:LINA
Middle Name:
Last Name:GAO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 PARNASSUS AVE # 115
Mailing Address - Street 2:UCSF HEART TRANSPLANT PROGRAM
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2203
Mailing Address - Country:US
Mailing Address - Phone:415-353-4148
Mailing Address - Fax:415-353-4166
Practice Address - Street 1:500 PARNASSUS AVE # 115
Practice Address - Street 2:UCSF HEART TRANSPLANT PROGRAM
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2203
Practice Address - Country:US
Practice Address - Phone:415-353-4148
Practice Address - Fax:415-353-4166
Is Sole Proprietor?:No
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95003127363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner