Healthcare Provider Details

I. General information

NPI: 1841892635
Provider Name (Legal Business Name): VICKY CHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date: 08/12/2026
Reactivation Date: 08/24/2026

III. Provider practice location address

301 E 13TH ST
MERCED CA
95341-6211
US

IV. Provider business mailing address

1835 BELCHER AVE
MERCED CA
95348-9464
US

V. Phone/Fax

Practice location:
  • Phone: 209-385-7311
  • Fax:
Mailing address:
  • Phone: 209-631-6935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: