Healthcare Provider Details

I. General information

NPI: 1558672634
Provider Name (Legal Business Name): MAYLING CHAU RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAYLING CHAU FNP

II. Dates (important events)

Enumeration Date: 06/23/2010
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 S ATLANTIC BLVD
MONTEREY PARK CA
91754-4735
US

IV. Provider business mailing address

711 W COLLEGE ST STE 388
LOS ANGELES CA
90012-3177
US

V. Phone/Fax

Practice location:
  • Phone: 626-988-8087
  • Fax:
Mailing address:
  • Phone: 213-808-1792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20338
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: