Healthcare Provider Details

I. General information

NPI: 1528320298
Provider Name (Legal Business Name): DIANA CHAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DIANA HUNG

II. Dates (important events)

Enumeration Date: 06/08/2012
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7232 ROSEMEAD BLVD STE 202
SAN GABRIEL CA
91775-1389
US

IV. Provider business mailing address

PO BOX 396
TEMPLE CITY CA
91780-0396
US

V. Phone/Fax

Practice location:
  • Phone: 626-534-6698
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA135726
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License NumberA135726
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: