Individual
CAITLIN THU CHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12815 HEACOCK ST, MORENO VALLEY, CA 92553-3116
(951) 601-6163
Mailing address
12815 HEACOCK ST, MORENO VALLEY, CA 92553-3116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A128054
CA
Other
Enumeration date
03/29/2012
Last updated
12/08/2021
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