MEDICARE: ANGELINE CHAU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0110006867	VA
2	363A00000X	Physician Assistant	PA66508	CA

General Provider Information

NPI Number	:	1659847309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELINE CHAU

Provider Business Mailing Address
First Line	:	6304 ZEKAN LN
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-1014
Country	:	US
Telephone Number	:	703-999-7157
Fax Number	:

Provider Business Practice Location Address
First Line	:	6404 MERIWETHER LN
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-1302
Country	:	US
Telephone Number	:	703-999-7157
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2018
Last Update Date	:	12/15/2025

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Directions to “ ANGELINE CHAU ” Practice Location

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