Healthcare Provider Details

I. General information

NPI: 1093951980
Provider Name (Legal Business Name): BILL CHAO CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2008
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9955 LOWER AZUSA RD #101
TEMPLE CITY CA
91780-4059
US

IV. Provider business mailing address

9955 LOWER AZUSA RD #101
TEMPLE CITY CA
91780-4059
US

V. Phone/Fax

Practice location:
  • Phone: 626-688-9999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC28043
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC12810
License Number StateCA

VIII. Authorized Official

Name: BILL CHAO
Title or Position: PRESIDENT
Credential: D.C.
Phone: 626-688-9999