Organization
CHAO & TAN MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIKANG CHAO MD (PRESIDENT)
(760) 255-3900
Entity
Organization
Contact information
Practice address
705 E VIRGINIA WAY STE I, BARSTOW, CA 92311-3955
(760) 255-3900
(760) 255-3980
Mailing address
PO BOX 626, BARSTOW, CA 92312-0626
(760) 255-3900
(760) 255-3980
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094840
—
CA
Enumeration date
08/10/2006
Last updated
05/30/2025
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