Provider Demographics
NPI:1720063936
Name:CAO, HUY II (MD)
Entity Type:Individual
Prefix:
First Name:HUY
Middle Name:
Last Name:CAO
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6815 FIVE STAR BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-2688
Mailing Address - Country:US
Mailing Address - Phone:916-624-1111
Mailing Address - Fax:
Practice Address - Street 1:6815 FIVE STAR BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-2688
Practice Address - Country:US
Practice Address - Phone:916-624-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66429207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A664290Medicare PIN
CAH20632Medicare UPIN