Individual
DR. OM P CHAURASIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26421 CROWN VALLEY PKWY, SUITE 140A, MISSION VIEJO, CA 92691-8564
(949) 365-8836
(949) 365-8837
Mailing address
26421 CROWN VALLEY PKWY, SUITE 140A, MISSION VIEJO, CA 92691-8564
(949) 365-8836
(949) 365-8837
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A50815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A508150
BLUE SHIELD PROVIDER
CA
01
—
W14853
MEDICARE GROUP NUMBER
CA
Enumeration date
12/04/2006
Last updated
07/08/2007
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