Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | NA | CA |
N | 2086S0122X | Plastic and Reconstructive Surgery | 6218 | CA |
NPI | 1497747943 |
---|---|
Provider Name | Dr. Samuel Da-Seng Kao |
First Address | San Francisco, CA 94108-4206 |
Second Address | San Francisco, CA 94108-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 19/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F63191 | (02) | CA |