Individual
MISS CHANSA CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 MURRAY AVE, SAN LUIS OBISPO, CA 93405-1806
(805) 546-7729
Mailing address
1010 MURRAY AVE, SAN LUIS OBISPO, CA 93405-1806
(805) 546-7729
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A114368
CA
Other
Enumeration date
10/26/2010
Last updated
05/07/2024
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