| Doctor Name: | CARYN CHIN CHAO |
| NPI Number: | 1023242336 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 17998 |
| Business Practice Address: | 12900 Park Plaza Dr Ste 150 Cerritos, CA - 907039329 |
| Business Phone Number: | 8666463553 |
| Business Fax Number: | 5626222803 |
| Mailing Address: | 12900 Park Plaza Dr.,, #150 CERRITOS |
| State: | CA |
| Postal Code: | 90703 |
| Phone Number: | 8666463553 |
| Fax Number: | 5626222803 |
| NPI Enumeration Date: | 05/14/2009 |
| NPI Last Update Date: | 05/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 17998 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |