Provider Demographics
NPI:1528498391
Name:KAO, ALBERT DEH-ZEN (PHARMD)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:DEH-ZEN
Last Name:KAO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 UNDERHILLS RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-2529
Mailing Address - Country:US
Mailing Address - Phone:510-213-9444
Mailing Address - Fax:
Practice Address - Street 1:4950 FULTON DR STE A-B
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-1615
Practice Address - Country:US
Practice Address - Phone:707-673-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH68178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist