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Organization
PETER L. CHI, MD INC
Active
Organization
PETER L. CHI, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER L CHI MD (PHYSICIAN)
(209) 834-8697
Entity
Organization
Contact information
Practice address
1770 N TRACY BLVD, TRACY, CA 95376-2431
(209) 834-8697
(209) 830-9390
Mailing address
1770 N TRACY BLVD, TRACY, CA 95376-2431
(209) 834-8697
(209) 830-9390
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A53856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A538560
—
CA
01
—
038404
HILLS PHYSICIAN
CA
01
—
040013402
RR MEDICARE
CA
Enumeration date
02/26/2007
Last updated
05/27/2008
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