Healthcare Provider Details

I. General information

NPI: 1346360146
Provider Name (Legal Business Name): SUSAN H CHA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8750 WILSHIRE BLVD STE 100
BEVERLY HILLS CA
90211-2708
US

IV. Provider business mailing address

2125 OAK GROVE RD STE 200
WALNUT CREEK CA
94598-2520
US

V. Phone/Fax

Practice location:
  • Phone: 310-689-3100
  • Fax:
Mailing address:
  • Phone: 925-296-7150
  • Fax: 925-296-7171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA112509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: