Provider Demographics
NPI:1972482040
Name:CAO, EDWARD ZONGCI
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:ZONGCI
Last Name:CAO
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 1:11758 BLACK HORSE CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3964
Mailing Address - Country:US
Mailing Address - Phone:909-436-7008
Mailing Address - Fax:
Practice Address - Street 1:11758 BLACK HORSE CT
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3964
Practice Address - Country:US
Practice Address - Phone:909-436-7008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program