Provider Demographics
NPI:1124282975
Name:KAO, EDWARD YUNG-YU (DC)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:YUNG-YU
Last Name:KAO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 MCFADDEN AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683
Mailing Address - Country:US
Mailing Address - Phone:714-775-7223
Mailing Address - Fax:714-775-7718
Practice Address - Street 1:9900 MCFADDEN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6978
Practice Address - Country:US
Practice Address - Phone:714-775-7223
Practice Address - Fax:714-775-7718
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor