Provider Demographics
NPI:1356931851
Name:CAO, HOA THI (DC)
Entity type:Individual
Prefix:DR
First Name:HOA
Middle Name:THI
Last Name:CAO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 LINCOLN AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-3030
Mailing Address - Country:US
Mailing Address - Phone:408-439-8969
Mailing Address - Fax:
Practice Address - Street 1:1261 LINCOLN AVE STE 113
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-3030
Practice Address - Country:US
Practice Address - Phone:408-439-8969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty