MEDICARE: BILL CHAO CHIROPRACTIC INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC12810	CA
2	111N00000X	Chiropractor	DC28043	CA

General Provider Information

NPI Number	:	1093951980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILL CHAO CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	9955 LOWER AZUSA RD
Second Line	:	#101
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-4059
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9955 LOWER AZUSA RD
Second Line	:	#101
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-4059
Country	:	US
Telephone Number	:	626-688-9999
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BILL CHAO
Credential	:	D.C.
Telephone Number	:	626-688-9999

Provider Enumeration Date	:	12/23/2008
Last Update Date	:	10/14/2010

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