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General NPI Number Information
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NPI Number | 1790505311
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Entity Type | Individual
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Provider Name | ANDY CHAU MS
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Gender | Male
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1345 SUNSET DR
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City | VISTA
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State | CA
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Zip | 92081-6528
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Country | US
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Telephone | 760-917-0699
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 COTTAGE WAY STE G2
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City | SACRAMENTO
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State | CA
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Zip | 95825-1474
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Country | US
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Telephone |
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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