Individual
CHARLOTTE CHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 CORPORATE PLAZA DR, SUITE 160, NEWPORT BEACH, CA 92660-7905
(949) 717-6511
Mailing address
3 CORPORATE PLAZA DR, SUITE 160, NEWPORT BEACH, CA 92660-7905
(949) 717-6511
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
L.AC 6387
CA
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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