Provider Demographics
NPI:1861913444
Name:GAO, YUNLING (PHD, LAC)
Entity type:Individual
Prefix:DR
First Name:YUNLING
Middle Name:
Last Name:GAO
Suffix:
Gender:F
Credentials:PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 HACKBERRY PL
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4035
Mailing Address - Country:US
Mailing Address - Phone:240-506-7391
Mailing Address - Fax:
Practice Address - Street 1:428 HACKBERRY PL
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-4035
Practice Address - Country:US
Practice Address - Phone:240-506-7391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02327171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU02327OtherLICENSED ACUPUNCTURIST