Healthcare Provider Details

I. General information

NPI: 1467390203
Provider Name (Legal Business Name): NAO CHINO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 S CENTRAL AVE
GLENDALE CA
91204-2508
US

IV. Provider business mailing address

3437 SANTA CARLOTTA ST
GLENDALE CA
91214-1159
US

V. Phone/Fax

Practice location:
  • Phone: 818-455-3066
  • Fax:
Mailing address:
  • Phone: 818-455-3066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number636468
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: