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NPI Code Detail

MEDICARE: ELIZABETH C CHAO MD

MEDICARE: ELIZABETH C CHAO MD
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
1207R00000XInternal Medicine PhysicianA89247CA
2207SG0203XClinical Molecular Genetics PhysicianA89247CA
3207ZP0007XMolecular Genetic Pathology (Pathology) PhysicianA89247CA
4207SG0201XClinical Genetics (M.D.) PhysicianA89247CA

General Provider Information

NPI Number : 1700179157
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH C CHAO MD
Provider Business Mailing Address
First Line : PO BOX 513377
Second Line :
City : LOS ANGELES
State : CA
Zip : 90051-3377
Country : US
Telephone Number : 714-456-7004
Fax Number :
Provider Business Practice Location Address
First Line : 101 THE CITY DR S
Second Line :
City : ORANGE
State : CA
Zip : 92868-3201
Country : US
Telephone Number : 714-456-7004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2011
Last Update Date : 07/08/2025

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