Healthcare Provider Details

I. General information

NPI: 1083562599
Provider Name (Legal Business Name): ANNA CHAO PHARMD
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

24451 HEALTH CENTER DR
LAGUNA HILLS CA
92653-3689
US

IV. Provider business mailing address

1915 WHITE STAR DR
DIAMOND BAR CA
91765-2709
US

V. Phone/Fax

Practice location:
  • Phone: 626-321-1891
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number64549
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: