Organization
DAVID J. CHAO MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J CHAO MD (PRESIDENT)
(844) 627-4763
Entity
Organization
Contact information
Practice address
8901 ACTIVITY ROAD, SAN DIEGO, CA 92126
(844) 627-4763
(760) 635-7801
Mailing address
8901 ACTIVITY ROAD, SAN DIEGO, CA 92126
(844) 627-4763
(760) 635-7801
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G78677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W17163
MEDICARE GROUP NUMBER
—
01
—
WG78677D
MEDICARE PROVIDER ID
—
Enumeration date
01/29/2007
Last updated
02/13/2015
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