Healthcare Provider Details

I. General information

NPI: 1558201152
Provider Name (Legal Business Name): ERIC CHIO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9444 MEDICAL CENTER DR STE 1-200
LA JOLLA CA
92037-1337
US

IV. Provider business mailing address

457 LAKESHIRE DR
DALY CITY CA
94015-4226
US

V. Phone/Fax

Practice location:
  • Phone: 858-249-1096
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: