# RICK T CHAC MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396134037
- **Authorized official:** MR. RICK T CHAC M.D. (PRESIDENT)
- **Authorized official phone:** (619) 496-6266

## Contact information

- **Practice address:** 502 EUCLID AVE, 200, NATIONAL CITY, CA 91950-2931
- **Practice address phone:** (619) 475-1261
- **Practice address fax:** (619) 475-1267
- **Mailing address:** 3774 CLAIREMONT DR, SAN DIEGO, CA 92117-5916
- **Mailing address phone:** (858) 274-1219
- **Mailing address fax:** (858) 270-2141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2015
- **Last updated:** 04/23/2015