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General NPI Number Information
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NPI Number | 1568721058
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Entity Type | Individual
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Provider Name | RYAN ROGER VICTORIO CHIO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 650 SOUTH ZEDIKER AVENUE
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City | PARLIER
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State | CA
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Zip | 93648-2666
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Country | US
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Telephone | 559-646-6618
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Fax |
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Provider Business Mailing Address
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Address Line | 212 E 47TH ST APT 28C
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City | NEW YORK
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State | NY
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Zip | 10017-2127
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Country | US
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Telephone | 212-203-7034
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A124196
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A124196
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License Number State | CA
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