Healthcare Provider Details

I. General information

NPI: 1215554118
Provider Name (Legal Business Name): MICHAEL CHAI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2020
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23530 STILLWATER PL
NEWHALL CA
91321-3555
US

IV. Provider business mailing address

23530 STILLWATER PL
NEWHALL CA
91321-3555
US

V. Phone/Fax

Practice location:
  • Phone: 626-378-8277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: