Individual
DR. DAVID J CHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 ACTIVITY RD, SAN DIEGO, CA 92126-4427
(844) 627-4763
(858) 571-1933
Mailing address
8901 ACTIVITY RD, SAN DIEGO, CA 92126-4427
(844) 627-4763
(858) 571-1933
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 PTAN
—
01
—
WG78677D
MEDICARE PROVIDER ID
—
Enumeration date
08/31/2006
Last updated
01/09/2015
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