Provider Demographics
NPI:1336334978
Name:GAO, YUHAO
Entity type:Individual
Prefix:DR
First Name:YUHAO
Middle Name:
Last Name:GAO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3327 HARTWELL CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-2944
Mailing Address - Country:US
Mailing Address - Phone:925-230-2194
Mailing Address - Fax:925-249-9240
Practice Address - Street 1:3283 BERNAL AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6237
Practice Address - Country:US
Practice Address - Phone:925-249-9242
Practice Address - Fax:925-249-9240
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56121122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD47206Medicaid