Organization
FU LI CHAO MD A PROF MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FU LI CHAO M.D. (PRESIDENT)
(909) 985-2112
Entity
Organization
Contact information
Practice address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
(626) 289-1266
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(303) 953-8260
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A66989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A669890
—
CA
Enumeration date
12/02/2010
Last updated
10/14/2016
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