Individual
CYNTHIA W CHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO A PROFESSIONAL CO
Contact information
Practice address
10861 CHERRY ST STE 109, LOS ALAMITOS, CA 90720-5400
(562) 931-3137
Mailing address
1540 W AVERILL PARK DR, SAN PEDRO, CA 90732-3924
(562) 208-6642
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A7343
CA
207VX0000X
Obstetrics Physician
20A7343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX73430
—
CA
Enumeration date
10/18/2005
Last updated
04/20/2024
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