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General NPI Number Information
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NPI Number | 1700812997
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Entity Type | Individual
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Provider Name | LAWRENCE C CHAO MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 2500 ALTON PKWY SUITE 102
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City | IRVINE
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State | CA
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Zip | 92606-5024
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Country | US
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Telephone | 949-679-2426
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Fax | 949-679-2616
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Provider Business Mailing Address
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Address Line | 2500 ALTON PKWY STE 102
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City | IRVINE
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State | CA
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Zip | 92606-5032
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Country | US
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Telephone | 949-679-2426
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Fax | 949-679-2616
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G84067
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number | G84067
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License Number State | CA
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