Provider Demographics
NPI:1841516911
Name:PAO, HAO KAI (LAC)
Entity type:Individual
Prefix:
First Name:HAO KAI
Middle Name:
Last Name:PAO
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:KEVIN
Other - Middle Name:
Other - Last Name:PAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:924 BUENA VISTA ST
Mailing Address - Street 2:SUITE #201
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-1779
Mailing Address - Country:US
Mailing Address - Phone:626-241-8489
Mailing Address - Fax:
Practice Address - Street 1:924 BUENA VISTA ST
Practice Address - Street 2:SUITE #201
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-1779
Practice Address - Country:US
Practice Address - Phone:626-241-8489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13479171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist