Basic Information
| Provider Information | |||||||||
| NPI: | 1720063936 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CAO | ||||||||
| FirstName: | HUY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | II | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6815 FIVE STAR BLVD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | ROCKLIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956772688 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9166241111 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6815 FIVE STAR BLVD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | ROCKLIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956772688 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9166241111 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/09/2005 | ||||||||
| LastUpdateDate: | 12/06/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A66429 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.