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Organization

DAVID D. CHI, M.D., F.A.C.S., A MEDICAL CORP.

Active
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Organization

DAVID D. CHI, M.D., F.A.C.S., A MEDICAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID D. CHI M.D. (OWNER/PRESIDENT)
(805) 497-7785
Entity
Organization

Contact information

Practice address
555 MARIN STREET, SUITE 210, THOUSAND OAKS, CA 91360-4105
(805) 497-7785
(805) 497-7728
Mailing address
555 MARIN STREET, SUITE 210, THOUSAND OAKS, CA 91360-4105
(805) 497-7785
(805) 497-7728

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G84570
CA
2086X0206X
Surgical Oncology Physician
G84570
CA
2086X0206X
Surgical Oncology Physician
Primary

Other

Enumeration date
05/06/2010
Last updated
07/20/2011
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