Provider Demographics
NPI:1750065884
Name:GAO, BRUCE MING (MD)
Entity type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:MING
Last Name:GAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:385 S MANCHESTER AVE
Mailing Address - Street 2:UNIT 1003
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868
Mailing Address - Country:US
Mailing Address - Phone:657-333-7457
Mailing Address - Fax:888-378-4358
Practice Address - Street 1:385 S MANCHESTER AVE
Practice Address - Street 2:UNIT 1003
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868
Practice Address - Country:US
Practice Address - Phone:657-333-7457
Practice Address - Fax:888-378-4358
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA188603208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program