Kedy Ying Jao D.O. a Medical Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KEDY YING JAO D.O. A MEDICAL CORP

Practice address

500 S Kraemer Blvd Ste 240
Brea, CA 92821-6778

Phone

(714) 930-1351

Fax

(714) 930-1361

NPI assigned

Nov 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kedy Ying Jao, D.O.

Title

D.O.

Phone

(714) 930-1351

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1710168687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S KRAEMER BLVD STE 240",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216778",
            "telephone_number": "714-930-1351",
            "fax_number": "714-930-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S KRAEMER BLVD STE 240",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216778",
            "telephone_number": "714-930-1351",
            "fax_number": "714-930-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEDY YING JAO D.O. A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "JAO",
        "authorized_official_first_name": "KEDY",
        "authorized_official_middle_name": "YING",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "714-930-1351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Brea, CA
• Providers in Brea, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.