JACK S KAO MD INC
Osteopathic Medicine at Olympic Blvd, Los Angeles, CA

License number
California A69438
Category
Osteopathic Medicine
Type
Anesthesiology
License number
California A69438
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: JACK S KAO M.D.
Title: PRESIDENT/SOLE OWNER
Phone: (818) 888-7815
Address
Address
5900 W Olympic Blvd, Los Angeles, CA 90036
National Provider ID: 1386894566
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JACK S. KAO MD, INC

Los Angeles, CA

Registration:
Mar 5, 2007
Addresses:
1155 S Grand Ave APT 1212, Los Angeles, CA 90015 (Physical)
524 N Laurel Ave, Los Angeles, CA 90048
State ID:
C2982619
Business type:
Articles of Incorporation
President:
Jack Shih-Chieh Kao (President)
Agent:
Jack Shih-Chieh Kao,Los Angeles, CA 90015 (Physical)

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