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General NPI Number Information
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NPI Number | 1073971412
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Entity Type | Organization
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Legal Business Name | CYNTHIA W CHAO D O A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/31/2016
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 10861 CHERRY ST STE 109
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-5400
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Country | US
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Telephone | 562-961-3137
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14467
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City | LONG BEACH
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State | CA
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Zip | 90853-4467
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Country | US
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Telephone | 562-208-6642
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | CYNTHIA W. CHAO
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Credential |
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Telephone | 562-961-3137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 20A7343
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License Number State | CA
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